Dr Ivey Annette Mitchell, | |
96679 Commodore Point Dr, Yulee, FL 32097-6567 | |
(239) 634-0743 | |
Not Available |
Full Name | Dr Ivey Annette Mitchell |
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Gender | Female |
Speciality | Psychologist - School |
Location | 96679 Commodore Point Dr, Yulee, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851002158 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TS0200X | Psychologist - School | 1685 (Florida) | Primary |
Entity Name | Meridian Behavioral Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134287154 PECOS PAC ID: 7517977812 Enrollment ID: O20060502000237 |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053 |
Mailing Address | Practice Location Address |
---|---|
Dr Ivey Annette Mitchell, 96679 Commodore Point Dr, Yulee, FL 32097-6567 Ph: (239) 634-0743 | Dr Ivey Annette Mitchell, 96679 Commodore Point Dr, Yulee, FL 32097-6567 Ph: (239) 634-0743 |
Gerilyn C Worthy-thayer, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 87010 Professional Way, Yulee, FL 32097 Phone: 904-376-3800 | |
Lauren Elizabeth Tressler, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 87010 Professional Way, Yulee, FL 32097 Phone: 904-376-3800 Fax: 904-396-8969 | |
Joshua A Kalman, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 87010 Professional Way, Yulee, FL 32097 Phone: 904-376-3800 Fax: 904-396-8969 | |
Edwina Leonard, MS, LPC-A Psychologist Medicare: Not Enrolled in Medicare Practice Location: 86277 Mainline Rd, Yulee, FL 32097 Phone: 678-793-7522 | |
Dr. Patricia Gail Leavy, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 87010 Professional Way, Yulee, FL 32097 Phone: 904-376-3800 Fax: 904-396-8969 | |
Dr. Dawna Lee Bone, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 398 Sweetgum St, Yulee, FL 32097 Phone: 850-450-3597 |