| Sandy Marie Betancourt, | |
|
1708 Laurelwood Dr, San Jose, CA 95125-4951 | |
| (408) 375-0853 | |
| Not Available |
| Full Name | Sandy Marie Betancourt |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 1708 Laurelwood Dr, San Jose, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326727686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 17464 (California) | Primary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Sandy Marie Betancourt, 1708 Laurelwood Dr, San Jose, CA 95125-4951 Ph: (408) 375-0853 | Sandy Marie Betancourt, 1708 Laurelwood Dr, San Jose, CA 95125-4951 Ph: (408) 375-0853 |
Mrs. Noreen Yokoyama-chan, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1101 S Winchester Blvd, San Jose, CA 95128 Phone: 408-425-0012 | |
Liana Mehawej, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4010 Moorpark Ave, Suite 117, San Jose, CA 95117 Phone: 408-249-0770 | |
Amy Kilby, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 800 Charcot Ave, Suite 110, San Jose, CA 95131 Phone: 650-336-3383 | |
Patricia Anne Serrano, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1101 S Winchester Blvd # B-1101, San Jose, CA 95128 Phone: 408-484-1028 | |
Ms. Amy C Haught, MA CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 911 Bern Ct Ste 130, San Jose, CA 95112 Phone: 408-666-0355 | |
Jessica Roberson, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 330 Crescent Village Circle, San Jose, CA 95134 Phone: 858-883-5400 | |
Christy Picetti, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1485 Saratoga Ave, Suite 200, San Jose, CA 95129 Phone: 877-991-0009 |