Dina P O'brien, PHD | |
1120 15th St, Augusta, GA 30912-0004 | |
(706) 721-2191 | |
(706) 721-4920 |
Full Name | Dina P O'brien |
---|---|
Gender | Female |
Speciality | Psychologist - Clinical Child & Adolescent |
Location | 1120 15th St, Augusta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770682858 | NPI | - | NPPES |
680820190A | Medicaid | GA | |
PS0364 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC2200X | Psychologist - Clinical Child & Adolescent | PY61072498 (Washington) | Primary |
103TC2200X | Psychologist - Clinical Child & Adolescent | PSY002668 (Georgia) | Secondary |
Entity Name | Multicare Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
Mailing Address | Practice Location Address |
---|---|
Dina P O'brien, PHD 1499 Walton Way, Ste 1400, Augusta, GA 30901-2650 Ph: (706) 828-6410 | Dina P O'brien, PHD 1120 15th St, Augusta, GA 30912-0004 Ph: (706) 721-2191 |
Dr. Sonya Yvette Medina, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Freedom Way, Augusta, GA 30904 Phone: 706-733-0188 | |
Jason Henle, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 997 Saint Sebastian Way, Augusta, GA 30912 Phone: 706-721-6597 Fax: 706-721-6602 | |
Dr. Cameron Mosley, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-288-8401 Fax: 706-828-8401 | |
Sue V Moore, MS, LPC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 448 Telfair St, Augusta, GA 30901 Phone: 706-722-7788 Fax: 706-724-8300 | |
Dr. Lori T. Welch-sigmon, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-8623 | |
Patrick A. Boudewyns, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-3141 Fax: 706-721-6602 | |
Ralph A. Gillies, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-4588 Fax: 706-721-7264 |