Earnest Jerome Wyatt, LPC is a
Psychologist based in Shreveport, Louisiana. Earnest Jerome Wyatt is licensed to practice in * (Not Available) (license number ) and his current practice location is
510 E Stoner Ave, Shreveport, Louisiana. He can be reached at his office (for appointments etc.) via phone at
(318) 221-8411.
NPI number for Earnest Jerome Wyatt is 1689044588 and his current mailing address is 238 Stubbs Vinson Road, Monroe, Louisiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1689044588.
Healthcare Provider's Profile
Full Name | Earnest Jerome Wyatt |
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Gender | Male |
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Speciality | Psychologist |
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Location | 510 E Stoner Ave, Shreveport, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1689044588
- Provider Enumeration Date: 10/05/2015
- Last Update Date: 10/30/2024
Medical Identifiers
Medical identifiers for Earnest Jerome Wyatt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689044588 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 5202 (Louisiana) | 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. Earnest Jerome Wyatt 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 |
Earnest Jerome Wyatt, LPC 238 Stubbs Vinson Road, Monroe, LA 71203-5869 Ph: (318) 503-6902 | Earnest Jerome Wyatt, LPC 510 E Stoner Ave, Shreveport, LA 71101-4243 Ph: (318) 221-8411 |
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