Miellie Bazzano, - Speech-Language Pathologist in Upper Lake, CA

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Miellie Bazzano, is a Speech-language Pathologist based in Upper Lake, California. Miellie Bazzano is licensed to practice in California (license number 20733) and her current practice location is 675 Clover Valley Rd, Upper Lake, California. She can be reached at her office (for appointments etc.) via phone at (707) 900-8994.

NPI number for Miellie Bazzano is 1659213544 and her current mailing address is 18262 N Shore Dr, Hidden Valley Lake, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1659213544.

Contact Information

Miellie Bazzano,
675 Clover Valley Rd,
Upper Lake, CA 95485-9220
(707) 900-8994
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMiellie Bazzano
GenderFemale
SpecialitySpeech-language Pathologist
Location675 Clover Valley Rd, Upper Lake, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1659213544
  • Provider Enumeration Date: 04/08/2026
  • Last Update Date: 04/08/2026

Medical Identifiers

Medical identifiers for Miellie Bazzano such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659213544NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 20733 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miellie Bazzano is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Miellie Bazzano,
18262 N Shore Dr,
Hidden Valley Lake, CA 95467-8624

Ph: (707) 900-8994		Miellie Bazzano,
675 Clover Valley Rd,
Upper Lake, CA 95485-9220

Ph: (707) 900-8994

Reviews and Comments


Speech-Language Pathologist in Upper Lake, CA


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