| Dougan And Walden Wellness, Pllc | |
|
312 Browns Hill Ct Midlothian VA 23114-9511 | |
| (804) 893-5555 | |
| (804) 893-5553 |
| Full Name | Dougan And Walden Wellness, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 312 Browns Hill Ct, Midlothian, Virginia |
| Authorized Official Name and Position | Jeremy Todd Walden (CO-OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 8048935555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dougan And Walden Wellness, Pllc 312 Browns Hill Ct Midlothian VA 23114-9511 Ph: (804) 893-5555 | Dougan And Walden Wellness, Pllc 312 Browns Hill Ct Midlothian VA 23114-9511 Ph: (804) 893-5555 |
| NPI Number | 1396259602 |
|---|---|
| Provider Enumeration Date | 11/22/2017 |
| Last Update Date | 01/09/2023 |
| Certification Date | 01/09/2023 |
| Medicare PECOS PAC ID | 7012345267 |
|---|---|
| Medicare Enrollment ID | O20200321000189 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396259602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Jeremy T Walden |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649535246 PECOS PAC ID: 0042532194 Enrollment ID: I20141201001474 |
| Provider Name | Rae Anne P Dougan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326415837 PECOS PAC ID: 3577854090 Enrollment ID: I20160614000539 |
| Provider Name | Keri Morrow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942924600 PECOS PAC ID: 6103275854 Enrollment ID: I20231207000739 |
| Provider Name | Trisha Lynn Marie Voigt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447982822 PECOS PAC ID: 8527417179 Enrollment ID: I20231208000770 |
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