| Maria De Jesus Sandoval, MS,CCC-SLP | |
|
4601 Dale Rd, Modesto, CA 95356-9718 | |
| (209) 735-5000 | |
| Not Available |
| Full Name | Maria De Jesus Sandoval |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 4601 Dale Rd, Modesto, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790921500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 14603 (California) | Primary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Maria De Jesus Sandoval, MS,CCC-SLP 3002 Juliet Rd, Stockton, CA 95205-7880 Ph: (209) 612-2252 | Maria De Jesus Sandoval, MS,CCC-SLP 4601 Dale Rd, Modesto, CA 95356-9718 Ph: (209) 735-5000 |
Deisy Caro-aldama, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 937 Coffee Rd Ste 200, Modesto, CA 95355 Phone: 209-312-9610 Fax: 209-312-9613 | |
Hayle Lueth, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 126 Chabot Ct, Modesto, CA 95354 Phone: 707-293-8845 | |
Applied Speech Communication Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3117 Mchenry Ave, Suite B, Modesto, CA 95350 Phone: 209-544-1032 Fax: 209-491-7184 | |
Reece Speech Pathology Services Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 803 Coffee Rd Ste 6, Modesto, CA 95355 Phone: 209-549-7765 Fax: 209-549-8776 | |
Michelle Sullivan, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4715 Yosemite Boulevard, Modesto, CA 95357 Phone: 209-574-9707 | |
Blossom Speech And Language Therapy Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1101 Standiford Ave Ste A2, Modesto, CA 95350 Phone: 209-404-0333 | |
Lynda Reece, M.A., CCC, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 803 Coffee Rd Ste 6, Modesto, CA 95355 Phone: 209-549-7765 Fax: 209-549-8776 |