| Ms Ida Nilanthi Lonnerdal, | |
|
455 First Street, Woodland, CA 95695 | |
| (530) 662-2211 | |
| (630) 662-4315 |
| Full Name | Ms Ida Nilanthi Lonnerdal |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 455 First Street, Woodland, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730634486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 119219 (California) | Primary |
| Entity Name | Ole Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700976503 PECOS PAC ID: 7315934767 Enrollment ID: O20040427001735 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Ida Nilanthi Lonnerdal, 455 First Street, Woodland, CA 95695 Ph: (530) 662-2211 | Ms Ida Nilanthi Lonnerdal, 455 First Street, Woodland, CA 95695 Ph: (530) 662-2211 |
Elizabeth Martin, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1003 Court St, Woodland, CA 95695 Phone: 530-341-3398 | |
Kali Paredes, LMFT 104309 Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 285 4th St, Woodland, CA 95695 Phone: 530-662-2699 | |
Emma Catherine Latuno, Couples Therapy Medicare: Medicare Enrolled Practice Location: 137 N Cottonwood St, Woodland, CA 95695 Phone: 530-980-1845 | |
Mario Gallegati, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 137 N Cottonwood St, Woodland, CA 95695 Phone: 530-757-5530 | |
Antoinette O'neill, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 455 1st St, Woodland, CA 95695 Phone: 530-662-2211 Fax: 530-662-4315 | |
Linda Hernandez Fogle, MS Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 25 N Cottonwood St, Woodland, CA 95695 Phone: 530-661-2634 | |
Alexander Timothy Snow, Couples Therapy Medicare: Accepting Medicare Assignments Practice Location: 414 4th St Ste D, Woodland, CA 95695 Phone: 530-406-7993 |