| Quinn Sierra Dudley, | |
|
2929 Theresa Dr, Thousand Oaks, CA 91320-3136 | |
| (805) 498-3644 | |
| Not Available |
| Full Name | Quinn Sierra Dudley |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 2929 Theresa Dr, Thousand Oaks, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194204024 | NPI | - | NPPES |
| 12387599 | Other | CA | KAISER PERMENANTE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 15701 (California) | Primary |
| 106S00000X | Behavior Technician | (NU) | Secondary |
| 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 |
| Provider Name | Sutter Valley Medical Foundation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Quinn Sierra Dudley, 2929 Theresa Dr, Thousand Oaks, CA 91320-3136 Ph: (805) 498-3644 | Quinn Sierra Dudley, 2929 Theresa Dr, Thousand Oaks, CA 91320-3136 Ph: (805) 498-3644 |
Stephanie Westendorf, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 223 E Thousand Oaks Blvd, Ste 100, Thousand Oaks, CA 91360 Phone: 805-418-9952 |
Jessica Rose Schaub, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3557 Campus Dr, Thousand Oaks, CA 91360 Phone: 805-241-2000 |
Jessica Sarah Johnson, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 223 E Thousand Oaks Blvd Ste 100, Thousand Oaks, CA 91360 Phone: 805-418-9952 |
Ms. Dara Wilson Allgeier, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 223 E Thousand Oaks Blvd Ste 100, Thousand Oaks, CA 91360 Phone: 805-777-8900 Fax: 805-777-8990 |
Christine Maria Katzenmaier, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 223 E. Thousand Oaks Blvd, Thousand Oaks, CA 91360 Phone: 805-418-9952 |
Ashleigh R Federico, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 810 Lawrence Dr, Thousand Oaks, CA 91320 Phone: 818-708-2298 |
Acorn Speech Therapy Pc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1993 Hendrix Ave, Thousand Oaks, CA 91360 Phone: 818-825-8844 |