| Greater Ozarks Rural Psychologists Llc | |
|
827 W Commercial St Mansfield MO 65704-9520 | |
| (417) 924-8188 | |
| (417) 924-8188 |
| Full Name | Greater Ozarks Rural Psychologists Llc |
|---|---|
| Speciality | Psychologist |
| Location | 827 W Commercial St, Mansfield, Missouri |
| Authorized Official Name and Position | Loretta S. Fuge (PSYCHOLOGIST) |
| Authorized Official Contact | 4179248188 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Ozarks Rural Psychologists Llc 827 W Commercial St P.o. Box 47 Mansfield MO 65704-9520 Ph: (417) 924-8188 | Greater Ozarks Rural Psychologists Llc 827 W Commercial St Mansfield MO 65704-9520 Ph: (417) 924-8188 |
| NPI Number | 1366779100 |
|---|---|
| Provider Enumeration Date | 11/16/2009 |
| Last Update Date | 12/14/2009 |
| Medicare PECOS PAC ID | 1759424997 |
|---|---|
| Medicare Enrollment ID | O20100210000240 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366779100 | NPI | - | NPPES |
| 1316196215 | Other | MO | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2005028862 (Missouri) | Primary |
| Provider Name | Loretta S Fuge |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053425769 PECOS PAC ID: 4688692015 Enrollment ID: I20051104000003 |
| Provider Name | Deanna M Wolf |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669798310 PECOS PAC ID: 5496887218 Enrollment ID: I20100714000629 |
| Provider Name | Stacy Barham |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821374935 PECOS PAC ID: 9032426168 Enrollment ID: I20150922001059 |
| Provider Name | Rory F Richardson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629051776 PECOS PAC ID: 6901091263 Enrollment ID: I20180521000586 |
Rural Psychologists & Associates Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 812 N Hwy 5, Mansfield, MO 65704 Phone: 417-924-2059 Fax: 417-924-2069 | |
Rural Mental Health Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 812 N Highway 5, Mansfield, MO 65704 Phone: 417-924-2059 Fax: 417-924-2069 |