Mr Keith Daniel Mccann, LMFT | |
12755 N Highway 88, Lodi, CA 95240-9323 | |
(209) 340-5800 | |
Not Available |
Full Name | Mr Keith Daniel Mccann |
---|---|
Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 12755 N Highway 88, Lodi, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609985712 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 44783 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
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Mr Keith Daniel Mccann, LMFT Po Box 330, Victor, CA 95253-0330 Ph: (209) 340-5800 | Mr Keith Daniel Mccann, LMFT 12755 N Highway 88, Lodi, CA 95240-9323 Ph: (209) 340-5800 |
Mr. John Brian Ford, MFTI Couples Therapy Medicare: Medicare Enrolled Practice Location: 12755 N Highway 88, Lodi, CA 95240 Phone: 209-340-5828 | |
Mrs. Kimberly Ann Laskowski, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 404 W Pine St Ste 1, Lodi, CA 95240 Phone: 209-339-1600 | |
Ms. A. Nanette Purdy-diocson, MFTI # 55302 Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 12755 N Highway 88, Lodi, CA 95240 Phone: 209-340-5838 | |
Julie L. Yee, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1930 Tienda Dr, Suite 102, Lodi, CA 95242 Phone: 209-986-3597 | |
La Toya Littesy, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 315 W Pine St Ste 3, Lodi, CA 95240 Phone: 209-366-2273 | |
Kari Ann Seaton, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 13520 E Live Oak Rd, Lodi, CA 95240 Phone: 209-331-2182 | |
Linda L Recuparo, M.A. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 12755 N Highway 88, Lodi, CA 95240 Phone: 209-340-5800 Fax: 209-340-5804 |