Dr Cara Rae Johnson, MSW, PSYD | |
316 E Love St, Mexico, MO 65265-2828 | |
(217) 653-6022 | |
Not Available |
Full Name | Dr Cara Rae Johnson |
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Gender | Female |
Speciality | Psychologist - Clinical |
Location | 316 E Love St, Mexico, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427042076 | NPI | - | NPPES |
491638904 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | 2006016141 (Missouri) | Primary |
Entity Name | East Central Missouri Behavioral Health Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144293549 PECOS PAC ID: 5395659403 Enrollment ID: O20031113000501 |
Mailing Address | Practice Location Address |
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Dr Cara Rae Johnson, MSW, PSYD Po Box 203, Mexico, MO 65265-0203 Ph: (217) 653-6022 | Dr Cara Rae Johnson, MSW, PSYD 316 E Love St, Mexico, MO 65265-2828 Ph: (217) 653-6022 |
Mr. Patrick Giles Finder, M.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 734 W Monroe St, Mexico, MO 65265 Phone: 573-582-0292 Fax: 573-581-6036 | |
Dennis Ray Campbell, M.S. Psychologist Medicare: Medicare Enrolled Practice Location: 321 West Promenade, Mexico, MO 65251 Phone: 573-582-1234 Fax: 573-582-1212 | |
Ms. Lisa K. Schriewer-clervi, PSYCHOLOGIST Psychologist Medicare: Medicare Enrolled Practice Location: 207 E Jackson St, Mexico, MO 65265 Phone: 573-581-3660 Fax: 573-581-3660 |