Dr Joshua Childers, PSYD | |
507 Ocean Blvd Ste 201, St Simons Island, GA 31522-4819 | |
(912) 399-9223 | |
(614) 543-0426 |
Full Name | Dr Joshua Childers |
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Gender | Male |
Speciality | Psychologist - Clinical |
Location | 507 Ocean Blvd Ste 201, St Simons Island, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740409473 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PSY004213 (Georgia) | Primary |
Entity Name | Psychogeriatric Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588689483 PECOS PAC ID: 6002719226 Enrollment ID: O20040128000532 |
Mailing Address | Practice Location Address |
---|---|
Dr Joshua Childers, PSYD 804 Sand Dollar Trce, Saint Simons Island, GA 31522-3758 Ph: (912) 399-9223 | Dr Joshua Childers, PSYD 507 Ocean Blvd Ste 201, St Simons Island, GA 31522-4819 Ph: (912) 399-9223 |
Dr. Clyde Franklin Truan Iii, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2465 Demere Rd, Suite 209, St Simons Island, GA 31522 Phone: 912-399-5414 Fax: 912-267-7981 | |
Dr. Nancy L Ogletree, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 421 Atlantic Dr, St Simons Island, GA 31522 Phone: 912-638-9687 Fax: 912-638-9514 |