Dr Johnette Elisse Clark, PHD | |
1301 N 2nd St, Atchison, KS 66002-1202 | |
(913) 367-1593 | |
(913) 367-1627 |
Full Name | Dr Johnette Elisse Clark |
---|---|
Gender | Female |
Speciality | Clinical Psychologist |
Experience | 28 Years |
Location | 1301 N 2nd St, Atchison, Kansas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801963137 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC2200X | Psychologist - Clinical Child & Adolescent | LP 1021 (Kansas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Guidance Center, Inc | 6507859063 | 11 |
Entity Name | The Guidance Center, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841262839 PECOS PAC ID: 6507859063 Enrollment ID: O20040408000528 |
Mailing Address | Practice Location Address |
---|---|
Dr Johnette Elisse Clark, PHD 130 Su Terra Dr, Atchison, KS 66002-1023 Ph: (913) 367-2824 | Dr Johnette Elisse Clark, PHD 1301 N 2nd St, Atchison, KS 66002-1202 Ph: (913) 367-1593 |
Mark Tolmachoff, LMLP Psychologist Medicare: Medicare Enrolled Practice Location: 201 Main St, Atchison, KS 66002 Phone: 913-367-1593 | |
Mrs. Mandy Kay Uhler, LMLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1301 N 2nd, Atchison, KS 66002 Phone: 913-367-4045 Fax: 913-367-5394 | |
Mr. Kerry Allan Marvin, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 710 Parallel St, Atchison, KS 66002 Phone: 913-367-5419 Fax: 913-367-6178 | |
Peggy L Libel, LMLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1301 N 2nd St, Atchison, KS 66002 Phone: 913-367-1593 Fax: 913-367-1627 | |
Nickolas Macaluso, LPC Psychologist Medicare: Accepting Medicare Assignments Practice Location: 201 Main St, Atchison, KS 66002 Phone: 913-367-1593 Fax: 913-367-1627 | |
Mrs. Elizabeth Lynn Gilbert, LMLP, LMAC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1412 N 2nd St, Atchison, KS 66002 Phone: 913-367-4879 | |
Jason R Wells, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1301 N 2nd St, Atchison, KS 66002 Phone: 913-367-1593 Fax: 913-367-1627 |