Dr Jason Deselms, LP | |
57950 Leavenworth St, Mcconnell Afb, KS 67221-3505 | |
(316) 759-5095 | |
Not Available |
Full Name | Dr Jason Deselms |
---|---|
Gender | Male |
Speciality | Psychologist - Clinical |
Location | 57950 Leavenworth St, Mcconnell Afb, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518909357 | NPI | - | NPPES |
389904 | Other | KS | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 1312 (Kansas) | Primary |
Mailing Address | Practice Location Address |
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Dr Jason Deselms, LP 57950 Leavenworth St, Mcconnell Afb, KS 67221-3505 Ph: (316) 759-5095 | Dr Jason Deselms, LP 57950 Leavenworth St, Mcconnell Afb, KS 67221-3505 Ph: (316) 759-5095 |
Diane Todd, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 57950 Leavenworth St, 22d Medical Group, Mcconnell Afb, KS 67221 Phone: 316-759-5091 Fax: 316-759-1304 | |
Dr. Gary C Hawley, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 57950 Leavenworth St, Mcconnell Afb, KS 67221 Phone: 316-759-5095 |