Dr Diane M Vendryes, PHD | |
4719 Highway 90, Marianna, FL 32446-7839 | |
(850) 526-3314 | |
(850) 526-5022 |
Full Name | Dr Diane M Vendryes |
---|---|
Gender | Female |
Speciality | Psychologist - Clinical |
Location | 4719 Highway 90, Marianna, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871769596 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PSY003128 (Georgia) | Secondary |
103TC0700X | Psychologist - Clinical | PY7359 (Florida) | Primary |
Entity Name | Caremed Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134774623 PECOS PAC ID: 0446589469 Enrollment ID: O20190916003605 |
Entity Name | Caremed Mind Health Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922749399 PECOS PAC ID: 8921489402 Enrollment ID: O20220714002052 |
Mailing Address | Practice Location Address |
---|---|
Dr Diane M Vendryes, PHD 4719 Highway 90, Marianna, FL 32446-7839 Ph: (850) 526-3314 | Dr Diane M Vendryes, PHD 4719 Highway 90, Marianna, FL 32446-7839 Ph: (850) 526-3314 |
Dr. Mary Ellen Broderick, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2902 Madison St, Marianna, FL 32446 Phone: 850-482-8830 | |
Dr. Mary Monica Watkins-clay, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4970 Highway 90, Marianna, FL 32446 Phone: 850-718-5620 Fax: 850-718-5670 | |
Dr. Marcellus O Taylor, PH. D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2998 Vortec Rd, Marianna, FL 32446 Phone: 850-209-2643 | |
Dr. Wesley Hendrick Mccormick, PH.D., M.DIV. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4970 Highway 90, Marianna, FL 32446 Phone: 850-718-5620 | |
Dr. Deborah Joyce Mazzarella, PSYD, ABPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4970 Highway 90, Marianna, FL 32446 Phone: 352-548-6000 |