Dr Dustin Kieschnick, PSYD | |
198 Tiger Tail Rd, Olympic Valley, CA 96146-9783 | |
(910) 467-3217 | |
Not Available |
Full Name | Dr Dustin Kieschnick |
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Gender | Male |
Speciality | Psychologist - Clinical |
Location | 198 Tiger Tail Rd, Olympic Valley, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1154090017 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 32828 (California) | Primary |
Entity Name | University Of California San Francisco |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861578973 PECOS PAC ID: 4486567229 Enrollment ID: O20031212000897 |
Entity Name | Ucsf Medical Group Business Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477624104 PECOS PAC ID: 3779497870 Enrollment ID: O20040622001513 |
Entity Name | Ucsf Psychiatry |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427105279 PECOS PAC ID: 4981680832 Enrollment ID: O20040629001513 |
Mailing Address | Practice Location Address |
---|---|
Dr Dustin Kieschnick, PSYD Po Box 3221, Olympic Valley, CA 96146-3221 Ph: (910) 467-3217 | Dr Dustin Kieschnick, PSYD 198 Tiger Tail Rd, Olympic Valley, CA 96146-9783 Ph: (910) 467-3217 |
Dr. Victoria Elizabeth Mercer, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1604 Christy Hill Road, Olympic Valley, CA 96146 Phone: 530-563-6769 | |
Dr. Amy Panter Vail, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1604 Christy Hill Road, Olympic Valley, CA 96146 Phone: 530-581-2539 |