David J Macintyre, PSYD | |
2405 Schofield Ave, Suite 210, Weston, WI 54476-2300 | |
(715) 298-2846 | |
(715) 298-3146 |
Full Name | David J Macintyre |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 2405 Schofield Ave, Weston, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043402092 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 180.003018 (Illinois) | Primary |
Entity Name | The Centre For Well-being, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144426495 PECOS PAC ID: 6002083920 Enrollment ID: O20120118000196 |
Mailing Address | Practice Location Address |
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David J Macintyre, PSYD 2405 Schofield Ave, Suite 210, Weston, WI 54476-2300 Ph: (715) 298-2846 | David J Macintyre, PSYD 2405 Schofield Ave, Suite 210, Weston, WI 54476-2300 Ph: (715) 298-2846 |
Karissa J Nelson, MS, LPC IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 3704 Weston Ave, Weston, WI 54476 Phone: 715-298-6364 Fax: 715-298-6365 | |
Tracey M Gusman, LPC, SAC,NCC Counselor Medicare: Medicare Enrolled Practice Location: 6304 Kelly Pl, Weston, WI 54476 Phone: 715-574-5577 Fax: 715-679-3080 | |
Brenda Jo Nemitz, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3704 Weston Ave, Weston, WI 54476 Phone: 715-298-6364 Fax: 715-298-6365 | |
Alison Robin Johnson, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 6405 Quentin St, Weston, WI 54476 Phone: 262-409-0191 | |
Jacquelyn Van Laarhoven, MS, LPC, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 6304 Kelly Pl, Weston, WI 54476 Phone: 715-571-0649 Fax: 715-679-3080 | |
Theodore C Conachen, APSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 3704 Weston Ave, Weston, WI 54476 Phone: 715-298-6364 |