Allicia D Baum, PSYD, LP | |
1300 E Bradford Pkwy, Springfield, MO 65804-4264 | |
(417) 269-5400 | |
(417) 269-7212 |
Full Name | Allicia D Baum |
---|---|
Gender | Female |
Speciality | Psychologist |
Location | 1300 E Bradford Pkwy, Springfield, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376549311 | NPI | - | NPPES |
498443803 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 2004033753 (Missouri) | Primary |
Entity Name | Burrell, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275541740 PECOS PAC ID: 4486548625 Enrollment ID: O20040210000372 |
Mailing Address | Practice Location Address |
---|---|
Allicia D Baum, PSYD, LP 1300 E Bradford Pkwy, Springfield, MO 65804-4264 Ph: (417) 269-5400 | Allicia D Baum, PSYD, LP 1300 E Bradford Pkwy, Springfield, MO 65804-4264 Ph: (417) 269-5400 |
Suzanne Pamela Demier, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1423 N Jefferson Ave, Springfield, MO 65802 Phone: 417-269-6891 Fax: 417-269-5595 | |
Jason R Glass, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1312 E Lark St, Springfield, MO 65804 Phone: 417-820-7954 | |
Roberta D Celaya, PLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1350 E Bradford Pkwy, Springfield, MO 65804 Phone: 417-761-5000 | |
Dr. Robert Duane Forsyth, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4375 E Kingsbury St, Springfield, MO 65809 Phone: 417-882-8393 Fax: 417-886-6778 | |
Ryan Grant Jones, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1864 S Kentwood Ave, Springfield, MO 65804 Phone: 417-880-6838 Fax: 417-374-0074 | |
Robert Christian Doneski, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1505 E Bradford Pkwy, Springfield, MO 65804 Phone: 417-322-6622 Fax: 417-350-1935 | |
Dr. Crystal M Beckham, PSYD, LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1300 E Bradford Pkwy, Springfield, MO 65804 Phone: 417-761-5000 Fax: 417-761-5065 |