Dr Laurence Robert Gore, PHD | |
455 N. Shawnee Ln, Chillicothe, OH 45601-4145 | |
(740) 779-4888 | |
Not Available |
Full Name | Dr Laurence Robert Gore |
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Gender | Male |
Speciality | Psychologist - Clinical |
Location | 455 N. Shawnee Ln, Chillicothe, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720129794 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | P.7116 (Ohio) | Primary |
103TC0700X | Psychologist - Clinical | PSY17037 (California) | Secondary |
Entity Name | Adena Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235468083 PECOS PAC ID: 1153456579 Enrollment ID: O20100323001007 |
Mailing Address | Practice Location Address |
---|---|
Dr Laurence Robert Gore, PHD 3244 Henderson Rd, Ste 2, Columbus, OH 43220-7300 Ph: (310) 448-9510 | Dr Laurence Robert Gore, PHD 455 N. Shawnee Ln, Chillicothe, OH 45601-4145 Ph: (740) 779-4888 |
Dr. Robert L Taylor Iii, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 17273 State Route 104, Chillicothe, OH 45601 Phone: 740-773-1141 Fax: 740-779-5500 | |
Dr. Jennifer Lynn Lemkuil, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 17273 State Route 104, Chillicothe, OH 45601 Phone: 740-773-1141 Fax: 740-772-7038 | |
Dr. Anna R Frise, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 17273 State Route 104, Chillicothe Va Medical Center, Chillicothe, OH 45601 Phone: 740-773-1141 | |
Dr. Ruth Lynn Teeters, ED. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 18 Overlook Dr, Chillicothe, OH 45601 Phone: 740-708-4882 | |
Dr. Margaret Dehoff, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 17273 State Route 104, Chillicothe, OH 45601 Phone: 740-773-1141 | |
Dr. Brooke N Wright, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 17273 State Route 104, Chillicothe, OH 45601 Phone: 740-773-1141 | |
Dr. Robert Bennington Sterne, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 17273 St Route 104, Chillicothe, OH 45601 Phone: 740-773-1141 |