| Black Oak Therapy | |
|
1160 Suncast Ln Ste 9, El Dorado Hills, CA 95762-9327 | |
| (530) 728-0757 | |
| (530) 718-3527 |
| Full Name | Black Oak Therapy |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 1160 Suncast Ln Ste 9, El Dorado Hills, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043720881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 22500 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Black Oak Therapy 1620 Paso Diablo Rd, Placerville, CA 95667-3023 Ph: (530) 728-0757 | Black Oak Therapy 1160 Suncast Ln Ste 9, El Dorado Hills, CA 95762-9327 Ph: (530) 728-0757 |
Ginger M Beaton, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4987 Golden Foothill Pkwy Ste 100, El Dorado Hills, CA 95762 Phone: 916-365-2411 |
Michelle Lynne Derryberry, MS, CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5046 Courtney Way, El Dorado Hills, CA 95762 Phone: 916-397-6974 Fax: 916-358-5582 |
Alexandra Victoria Ingman, Speech-Language Pathologist Medicare: May Accept Medicare Assignments Practice Location: 1106 Suncast Ln, El Dorado Hills, CA 95762 Phone: 530-728-0757 |
Abigail Marre Kline, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4987 Golden Foothill Pkwy Ste 100, El Dorado Hills, CA 95762 Phone: 916-365-2411 |
Renee Lafrancis, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1580 Lakehills Dr, El Dorado Hills, CA 95762 Phone: 209-952-2588 |
Elizabeth Michelle Burcham, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1104 Seneca Cir, El Dorado Hills, CA 95762 Phone: 916-759-4610 |
Mrs. Barbara Nghi Gutierrez, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1412 Bayridge Ln, El Dorado Hills, CA 95762 Phone: 916-947-5038 |