Dr Kenneth Terrell Washington, PHD | |
18237 Kedzie Ave, Homewood, IL 60430-1411 | |
(708) 433-9779 | |
Not Available |
Full Name | Dr Kenneth Terrell Washington |
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Gender | Male |
Speciality | Psychologist - Counseling |
Location | 18237 Kedzie Ave, Homewood, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295326668 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC1900X | Psychologist - Counseling | (Illinois) | Primary |
Entity Name | Dr. Kenneth T. Washington Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649861014 PECOS PAC ID: 0446609580 Enrollment ID: O20231214000343 |
Mailing Address | Practice Location Address |
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Dr Kenneth Terrell Washington, PHD 18237 Kedzie Ave, Homewood, IL 60430-1411 Ph: (708) 433-9779 | Dr Kenneth Terrell Washington, PHD 18237 Kedzie Ave, Homewood, IL 60430-1411 Ph: (708) 433-9779 |
Ralph David Sturgeon, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1638 Ridge Rd, Homewood, IL 60430 Phone: 708-798-0629 | |
Cynthia L Mclean, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 18132 Martin Ave, Homewood, IL 60430 Phone: 708-957-3695 Fax: 708-957-3695 | |
Lonn Wolf, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 19150 Kedzie Ave Ste 204, Homewood, IL 60430 Phone: 708-799-7505 | |
Dr. Holly Ouida Houston, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 18161 Morris Ave, Suite 102, Homewood, IL 60430 Phone: 708-349-5433 Fax: 708-349-5433 | |
Dr. Linda J. Wright, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 18161 Morris Ave, Suite 104, Homewood, IL 60430 Phone: 708-798-6032 Fax: 708-535-0532 | |
Ms. Jan L Smith, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 18208 Dolphin Lake Drive, Homewood, IL 60430 Phone: 708-957-3303 Fax: 708-957-3764 |