Dr Anthony Menditto, PHD | |
600 E 5th St, Fulton, MO 65251-1753 | |
(573) 592-2623 | |
(573) 592-3001 |
Full Name | Dr Anthony Menditto |
---|---|
Gender | Male |
Speciality | Psychologist |
Location | 600 E 5th St, Fulton, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376729616 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 05129 (Missouri) | Primary |
Entity Name | State Of Missouri |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164477873 PECOS PAC ID: 1456254226 Enrollment ID: O20040129000481 |
Mailing Address | Practice Location Address |
---|---|
Dr Anthony Menditto, PHD 600 E 5th St, Fulton, MO 65251-1753 Ph: (573) 592-2623 | Dr Anthony Menditto, PHD 600 E 5th St, Fulton, MO 65251-1753 Ph: (573) 592-2623 |
Bryan Zolnikov, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 600 E 5th St, Fulton, MO 65251 Phone: 573-592-2623 Fax: 573-592-3001 | |
Dr. Jeffrey R Nolting, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 600 E 5th St, Fulton, MO 65251 Phone: 573-592-2195 | |
Eric Martin, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 600 E 5th St, Fulton, MO 65251 Phone: 573-592-2623 | |
Dr. Sharon Robbins, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 600 E 5th St, Fulton, MO 65251 Phone: 573-592-3365 | |
Kirsten Deming Hunter, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 600 E 5th St, Fulton, MO 65251 Phone: 573-592-2623 | |
James Bridges, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 600 E 5th St, Fulton, MO 65251 Phone: 573-592-2623 | |
Megan O'grady, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 600 E 5th St, Fulton, MO 65251 Phone: 573-592-2613 |