| Ms Theresa Boyle Cunningham, MS | |
|
13652 Cantara St, Panorama City, CA 91402-5423 | |
| (818) 375-2548 | |
| (818) 375-4430 |
| Full Name | Ms Theresa Boyle Cunningham |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 13652 Cantara St, Panorama City, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295897890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SP 13791 (California) | Primary |
| Provider Name | Southern California Permanente Medical Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Theresa Boyle Cunningham, MS 13652 Cantara St, Panorama City, CA 91402-5423 Ph: (818) 375-2548 | Ms Theresa Boyle Cunningham, MS 13652 Cantara St, Panorama City, CA 91402-5423 Ph: (818) 375-2548 |
Jean Marie Gilbertson, SPL Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8121 Van Nuys Blvd, 510, Panorama City, CA 91402 Phone: 818-392-8115 | |
Betty Ann Barrett, MS CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9541 Van Nuys Blvd, Panorama City, CA 91402 Phone: 818-893-6385 | |
Jennifer Melgarejo Zellner, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 13652 Cantara St Bldg 5, Panorama City, CA 91402 Phone: 818-375-2000 | |
Katherine Suter, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8525 Tobias Ave, Panorama City, CA 91402 Phone: 231-838-5055 | |
Zarui Mouboiadjian, M.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-3636 Fax: 818-375-4430 | |
Mrs. Esther Nielsen, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-3636 Fax: 818-375-4430 |