Dr Angela M Carruth, PSYD | |
5350 Lamme Rd, Moraine, OH 45439-3215 | |
(937) 534-4651 | |
(937) 534-4609 |
Full Name | Dr Angela M Carruth |
---|---|
Gender | Female |
Speciality | Psychologist - Clinical |
Location | 5350 Lamme Rd, Moraine, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619061371 | NPI | - | NPPES |
2859536 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 5483 (Ohio) | Primary |
Entity Name | Alliance Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437125572 PECOS PAC ID: 0840104360 Enrollment ID: O20031118000529 |
Entity Name | Kettering Independent Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629387865 PECOS PAC ID: 3173710936 Enrollment ID: O20101207000425 |
Mailing Address | Practice Location Address |
---|---|
Dr Angela M Carruth, PSYD 2110 Leiter Rd, Miamisburg, OH 45342-3660 Ph: (937) 914-7054 | Dr Angela M Carruth, PSYD 5350 Lamme Rd, Moraine, OH 45439-3215 Ph: (937) 534-4651 |
David Alan Oblinger Ii, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300 | |
Michael Shaun Perciful, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-913-1902 | |
Jay Mccaffrey, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300 | |
Robert Nathan Ilagan, GRADUATE STUDENT Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300 | |
Justin Marie Howard, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300 | |
Albine Bizimana, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-534-1572 | |
Ms. Lien-lien Lilly Wu, B.A Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300 |