| Audrey Marie Weyand, | |
|
1600 Los Gamos Dr, San Rafael, CA 94903-1806 | |
| (415) 444-7400 | |
| Not Available |
| Full Name | Audrey Marie Weyand |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 1600 Los Gamos Dr, San Rafael, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154811925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| 171M00000X | Case Manager/care Coordinator | (Massachusetts) | Secondary |
| Provider Name | Permanente Medical Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Provider Name | Orthopaedic and Neurological Rehab Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1225496540 PECOS PAC ID: 6507159126 Enrollment ID: O20160720000431 |
| Mailing Address | Practice Location Address |
|---|---|
| Audrey Marie Weyand, 1600 Los Gamos Dr, San Rafael, CA 94903-1806 Ph: Not Available | Audrey Marie Weyand, 1600 Los Gamos Dr, San Rafael, CA 94903-1806 Ph: (415) 444-7400 |
Mrs. Jennifer Kate Moore, CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-889-3833 |
Erica De Guzman, M.S. CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1600 Los Gamos Dr, San Rafael, CA 94903 Phone: 415-444-4013 |
Kathleen O'hara Hemlock, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 122 Paul Dr, Suite A, San Rafael, CA 94903 Phone: 415-577-4210 |
Hannah Mcneill, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 317 D St, San Rafael, CA 94901 Phone: 415-377-6533 |
Bianca Lana Havel, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 232 Santa Margarita, San Rafael, CA 94901 Phone: 415-454-6340 |
Elizabeth Seagrave, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2400 Las Gallinas Ave, Ste 135a, San Rafael, CA 94903 Phone: 415-326-3315 Fax: 855-975-3010 |
Christina Marie Hawkins, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 165 N Redwood Dr Ste 200, San Rafael, CA 94903 Phone: 415-479-7880 |