| Gary Dean Siela, LMFT | |
|
8911 Lakewood Dr Ste 24f, Windsor, CA 95492-7856 | |
| (707) 836-6350 | |
| Not Available |
| Full Name | Gary Dean Siela |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| Location | 8911 Lakewood Dr Ste 24f, Windsor, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538375159 | NPI | - | NPPES |
| 1538375159 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFC47106 (California) | Secondary |
| 106H00000X | Marriage & Family Therapist | 47106 (California) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Gary Dean Siela, LMFT 8911 Lakewood Dr Ste 24f, Windsor, CA 95492-7856 Ph: (707) 836-6350 | Gary Dean Siela, LMFT 8911 Lakewood Dr Ste 24f, Windsor, CA 95492-7856 Ph: (707) 836-6350 |
Mr. Asish Purushan, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 8911 Lakewood Dr Ste 23, Windsor, CA 95492 Phone: 510-935-3182 | |
Susan Michelle Greene, MA, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 8911 Lakewood Dr, Suite 24d, Windsor, CA 95492 Phone: 707-604-6943 | |
Alicia Wolf, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 9940 Starr Rd, Suite 100, Windsor, CA 95492 Phone: 707-479-5164 Fax: 707-836-0444 | |
Melissa Tan, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 9240 Old Redwood Hwy Ste 256, Windsor, CA 95492 Phone: 415-578-0094 | |
Chaela D Stewart, M.S. MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 9240 Old Redwood Hwy Ste 200-246, Windsor, CA 95492 Phone: 707-779-9345 | |
Marie Rich, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 8733 Lakewood Dr Ste 205, Windsor, CA 95492 Phone: 707-284-1987 |