Mr Dennis Edward Waddell, MA | |
1161 E Covina Blvd, Covina, CA 91724-1523 | |
(626) 966-1632 | |
Not Available |
Full Name | Mr Dennis Edward Waddell |
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Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 1161 E Covina Blvd, Covina, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487961256 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 48578 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Mailing Address | Practice Location Address |
---|---|
Mr Dennis Edward Waddell, MA Po Box 1031, Bloomington, CA 92316-1031 Ph: (951) 360-1169 | Mr Dennis Edward Waddell, MA 1161 E Covina Blvd, Covina, CA 91724-1523 Ph: (626) 966-1632 |
Caitlin Staveley, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 540 S Eremland Dr, Covina, CA 91723 Phone: 626-966-1577 | |
Laura-renee Mendoza, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 1126 N Grand Ave, Covina, CA 91724 Phone: 626-967-1667 Fax: 626-967-6027 | |
Mia Y Kim, M.S. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 560 S San Jose Ave, Covina, CA 91723 Phone: 626-967-5103 | |
Harry Shuster, M.A. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1274 Center Court Dr, Suite 112, Covina, CA 91724 Phone: 626-915-1681 Fax: 626-915-6503 | |
Jeffrey Lee Mancaruso, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 508-510 S Second Ave,, Covina, CA 91723 Phone: 626-974-8122 Fax: 626-974-8198 | |
Stephanie Cruz, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1085 W Badillo St, Covina, CA 91722 Phone: 626-332-8138 | |
Ms. Stephanie Marie Schneider, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 560 S San Jose Ave, Covina, CA 91723 Phone: 626-967-5103 |