Gina Wermuth, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

15847 Issued in CA

Practice address

30 N San Pedro Rd
Ste. 265
San Rafael, CA 94903-4118

Phone

(415) 479-7880

NPI assigned

May 29, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212019200000",
    "number": "1609034313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 FLORIBEL AVE",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949602215",
            "telephone_number": "831-818-2308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N SAN PEDRO RD",
            "address_2": "STE. 265",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949034118",
            "telephone_number": "415-479-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERMUTH",
        "first_name": "GINA",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "15847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiarre Diana Welsh, MS., MFTI
• Barbara Welter, M.S.
• Stephen Edward Welter, M.D.
• Hui-Shan A. Wen, DO
• Lauren Foley Wenderoth, RD
• West Bay Urgent Care Associates Inc a Medical Corporation
• West Coast Posttrauma Retreat
• Donna West, PHN
• Stacy West
• Westco Fiji Care LLC

• Speech-Language Pathologist in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.