David T Walters, PCC | |
25111 Country Club Blvd, Suite 290, North Olmsted, OH 44070-5345 | |
(216) 831-6611 | |
(216) 831-2726 |
Full Name | David T Walters |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 25111 Country Club Blvd, North Olmsted, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275858326 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | E0602193 (Ohio) | Primary |
Entity Name | Psychological & Behavioral Consultants Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811915713 PECOS PAC ID: 0446243760 Enrollment ID: O20040405000363 |
Mailing Address | Practice Location Address |
---|---|
David T Walters, PCC 24800 Highpoint Rd, Suite B, Beachwood, OH 44122-6052 Ph: (216) 831-6611 | David T Walters, PCC 25111 Country Club Blvd, Suite 290, North Olmsted, OH 44070-5345 Ph: (216) 831-6611 |
Ashley L Powell, LISW Counselor Medicare: Not Enrolled in Medicare Practice Location: 25111 Country Club Blvd Ste 290, North Olmsted, OH 44070 Phone: 216-468-5002 | |
Barbara A Reitman, LISW Counselor Medicare: Medicare Enrolled Practice Location: 26777 Lorain Road, #308, North Olmsted, OH 44070 Phone: 440-716-2222 Fax: 440-716-1954 | |
Kenneth Trivison, Counselor Medicare: Not Enrolled in Medicare Practice Location: 25111 Country Club Blvd, Suite 290, North Olmsted, OH 44070 Phone: 440-614-2520 Fax: 440-614-2526 | |
Meagan Prost, LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 4597 Great Northern Blvd # 210, North Olmsted, OH 44070 Phone: 216-570-6473 | |
Ms. Joan M Marquard, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 25111 Country Club Blvd, 290, North Olmsted, OH 44070 Phone: 440-614-2520 Fax: 440-614-2526 | |
Mr. Scot Lee, Counselor Medicare: Not Enrolled in Medicare Practice Location: 25111 Country Club Blvd, 290, North Olmsted, OH 44070 Phone: 440-614-2520 Fax: 440-614-2526 | |
Mrs. Audra Maria Popik, MACC, LSW Counselor Medicare: Medicare Enrolled Practice Location: 6758 Warrington Dr, North Olmsted, OH 44070 Phone: 440-821-0424 |