Dr Thomas Wesley Ayala, LICENSED COUNSELOR is a
Psychologist based in Lebanon, Oregon. Dr Thomas Wesley Ayala is licensed to practice in * (Not Available) (license number ) and his current practice location is
880 Main St, Lebanon, Oregon. He can be reached at his office (for appointments etc.) via phone at
(541) 258-8210.
NPI number for Dr Thomas Wesley Ayala is 1154564185 and his current mailing address is Po Box 280, Lebanon, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1154564185.
Healthcare Provider's Profile
| Full Name | Dr Thomas Wesley Ayala |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist |
|---|
| Location | 880 Main St, Lebanon, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1154564185
- Provider Enumeration Date: 04/07/2009
- Last Update Date: 12/29/2016
Medical Identifiers
Medical identifiers for Dr Thomas Wesley Ayala such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154564185 | NPI | - | NPPES |
| 227513 | Other | NC | NATIONAL BOARD CERTIFIED COUNSELOR |
| C1962 | Other | OR | LICENSED PROFESSIONAL COUNSELOR |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | C1962 (Oregon) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Thomas Wesley Ayala is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Thomas Wesley Ayala, LICENSED COUNSELOR
Po Box 280,
Lebanon, OR 97355-0280
Ph: (541) 258-8210 | Dr Thomas Wesley Ayala, LICENSED COUNSELOR
880 Main St,
Lebanon, OR 97355
Ph: (541) 258-8210 |
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