| Myriam Angelique Villapudua, CCC-SLP | |
|
214 W Main St, Somerton, AZ 85350-6329 | |
| (928) 627-1120 | |
| (928) 722-6113 |
| Full Name | Myriam Angelique Villapudua |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 214 W Main St, Somerton, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831479419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SLP7439 (Arizona) | Primary |
| Provider Name | San Luis Walk-in Clinic Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1104228337 PECOS PAC ID: 2668361841 Enrollment ID: O20040514000795 |
| Mailing Address | Practice Location Address |
|---|---|
| Myriam Angelique Villapudua, CCC-SLP Po Box 617, Somerton, AZ 85350-0617 Ph: (928) 236-8001 | Myriam Angelique Villapudua, CCC-SLP 214 W Main St, Somerton, AZ 85350-6329 Ph: (928) 627-1120 |
Mr. Ricardo Rivas Mendez, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 214 W Main St, Somerton, AZ 85350 Phone: 928-627-1120 | |
Cathy Reeves, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 16855 S Avenue A, Somerton, AZ 85350 Phone: 928-341-6041 Fax: 928-341-6090 | |
Tami Joan Kulka, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 343 N. Carlisle Ave., Somerton, AZ 85350 Phone: 928-341-6041 Fax: 928-341-6099 | |
Speech First Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2210 W Rancho Del Sol St, Somerton, AZ 85350 Phone: 520-238-1505 | |
Mrs. Patricia Gonzalez, M.S., SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 214 W Main St, Somerton, AZ 85350 Phone: 928-627-1120 Fax: 928-722-6113 | |
Mrs. Vanessa Vasquez-mccall, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 215 North Carlisle Avenue, Somerton, AZ 85350 Phone: 928-341-6706 |