| Nicole Polidoro, | |
|
24941 Camberwell St, Laguna Hills, CA 92653-4624 | |
| (917) 921-8159 | |
| Not Available |
| Full Name | Nicole Polidoro |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 24941 Camberwell St, Laguna Hills, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932457454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Expressable Speech-language Pathology Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1649875857 PECOS PAC ID: 4688074511 Enrollment ID: O20211123000602 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Polidoro, 24941 Camberwell St, Laguna Hills, CA 92653-4624 Ph: (917) 921-8159 | Nicole Polidoro, 24941 Camberwell St, Laguna Hills, CA 92653-4624 Ph: (917) 921-8159 |
Mrs. Helen Patricia Clark, M.A., SLP-CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 23271 Verdugo Dr, Suite B, Laguna Hills, CA 92653 Phone: 949-707-5555 | |
Tia Hein, SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 24422 Avenida De La Carlota Ste 190, Laguna Hills, CA 92653 Phone: 949-340-6927 Fax: 949-215-7246 | |
Shireen Ryan, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 24552 Paseo De Valencia, Laguna Hills, CA 92653 Phone: 949-609-7544 | |
Celeste Perez, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 23271 Verdugo Dr, #b, Laguna Hills, CA 92653 Phone: 949-707-5555 | |
Alice Mann Hughes, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 26081 Merit Cir Ste 107, Laguna Hills, CA 92653 Phone: 949-367-0310 | |
Wendy Rice, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 26081 Merit Cir, #107, Laguna Hills, CA 92653 Phone: 949-367-0310 | |
Sandra Donohue Price, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 25341 De Salle Street, Laguna Hills, CA 92653 Phone: 949-855-1742 Fax: 949-855-1742 |