| Cassie Marie Graham, PSYD | |
|
104 S Front Ave, Prestonsburg, KY 41653-1614 | |
| (606) 886-8572 | |
| Not Available |
| Full Name | Cassie Marie Graham |
|---|---|
| Gender | Female |
| Speciality | Psychologist |
| Location | 104 S Front Ave, Prestonsburg, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962632398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 138733 (Kentucky) | Secondary |
| 103T00000X | Psychologist | 174212 (Kentucky) | Primary |
| Entity Name | Mountain Comprehensive Care Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760491674 PECOS PAC ID: 5294720553 Enrollment ID: O20040416000380 |
| Mailing Address | Practice Location Address |
|---|---|
| Cassie Marie Graham, PSYD 104 S Front Ave, Prestonsburg, KY 41653-1614 Ph: (606) 886-8572 | Cassie Marie Graham, PSYD 104 S Front Ave, Prestonsburg, KY 41653-1614 Ph: (606) 886-8572 |
Dr. Thomas Joseph Crotty, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 290 E Court St, Prestonsburg, KY 41653 Phone: 606-205-0712 | |
David J Bliss, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 104 S Front Ave, Prestonsburg, KY 41653 Phone: 606-886-8572 Fax: 606-886-4433 | |
Ashley Denise Clark, MS, LPP, BCBA-LBA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5000 Ky Route 321, Prestonsburg, KY 41653 Phone: 606-889-3610 Fax: 606-886-1316 | |
Vanessa M. Lester, MA/CPA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 104 S Front Ave, Prestonsburg, KY 41653 Phone: 606-886-8572 Fax: 606-886-4433 | |
Danette Morton-page, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 104 S Front Ave, Prestonsburg, KY 41653 Phone: 606-886-8572 Fax: 606-886-4433 | |
Jennifer James Ousley, LIC. PSYCH. ASSOC. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3056 Ky Route 321, Prestonsburg, KY 41653 Phone: 606-887-9221 Fax: 833-550-0816 | |
Dr. Kristal Dawn Jenkins, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 104 S Front Ave, Prestonsburg, KY 41653 Phone: 606-886-4350 Fax: 606-886-4433 |