| Jacquelyn A Muniz, Psy.d., Llc | |
|
11264 Route 37 Marion IL 62959-8360 | |
| (618) 964-4255 | |
| (618) 997-7972 |
| Full Name | Jacquelyn A Muniz, Psy.d., Llc |
|---|---|
| Speciality | Psychologist |
| Location | 11264 Route 37, Marion, Illinois |
| Authorized Official Name and Position | Jacquelyn A Muniz (OWNER/PRESIDENT) |
| Authorized Official Contact | 6189644255 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacquelyn A Muniz, Psy.d., Llc 11264 Route 37 Marion IL 62959-8360 Ph: (618) 964-4255 | Jacquelyn A Muniz, Psy.d., Llc 11264 Route 37 Marion IL 62959-8360 Ph: (618) 964-4255 |
| NPI Number | 1316315716 |
|---|---|
| Provider Enumeration Date | 09/02/2015 |
| Last Update Date | 08/27/2024 |
| Certification Date | 08/23/2024 |
| Medicare PECOS PAC ID | 1355659400 |
|---|---|
| Medicare Enrollment ID | O20151009000538 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316315716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 071005891 (Illinois) | Primary |
| Provider Name | Jacquelyn A Pickar-muniz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003919408 PECOS PAC ID: 9234129768 Enrollment ID: I20040515000451 |
Your Time To Thrive Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4505 W De Young St, Ste 203 C, Marion, IL 62959 Phone: 618-292-1663 Fax: 618-846-4381 | |
Shawnee Health Care Marion Obgyn Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1506 Sioux Dr, Marion, IL 62959 Phone: 618-519-9200 | |
Feeling & Healing Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1616 W Main St Ste 500, Marion, IL 62959 Phone: 618-889-5767 | |
Hope Harbor Counseling Nfp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1602 W Walnut St, Marion, IL 62959 Phone: 618-364-2504 | |
Rachel Gunn Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6263 Windmere Ln, Marion, IL 62959 Phone: 618-889-6585 | |
Jefferson Elementary School Health Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 700 E Boulevard St, Marion, IL 62959 Phone: 618-519-9200 Fax: 618-998-0880 | |
Women Residential Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1305 W Main St, Marion, IL 62959 Phone: 618-937-6483 Fax: 618-937-1440 |