| Tri-county Psychological Services, Inc. | |
|
541 W Hubble Dr Marshfield MO 65706-1532 | |
| (417) 859-7746 | |
| (417) 859-7411 |
| Full Name | Tri-county Psychological Services, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 541 W Hubble Dr, Marshfield, Missouri |
| Authorized Official Name and Position | Ward M. Lawson (PRESIDENT) |
| Authorized Official Contact | 4178597746 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-county Psychological Services, Inc. Po Box 256 Marshfield MO 65706-0256 Ph: () - | Tri-county Psychological Services, Inc. 541 W Hubble Dr Marshfield MO 65706-1532 Ph: (417) 859-7746 |
| NPI Number | 1548306855 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 06/25/2008 |
| Medicare PECOS PAC ID | 2264479161 |
|---|---|
| Medicare Enrollment ID | O20050412001230 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548306855 | NPI | - | NPPES |
| 1548306855 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| Provider Name | Ward M Lawson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083619506 PECOS PAC ID: 6507766862 Enrollment ID: I20040730000773 |
| Provider Name | Dave C Gooden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275793002 PECOS PAC ID: 1355497041 Enrollment ID: I20090922000386 |
| Provider Name | Ann D Rost |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922347392 PECOS PAC ID: 8527298843 Enrollment ID: I20140306002150 |
| Provider Name | Mandie Shannon Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467931410 PECOS PAC ID: 4183023427 Enrollment ID: I20210519000416 |
| Provider Name | Debra A. Bacher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922383413 PECOS PAC ID: 9436552007 Enrollment ID: I20210721000307 |
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