Dr Michael Martin Luther Krownapple, PSYD | |
1010 W Columbia St, Farmington, MO 63640-2902 | |
(573) 218-6040 | |
Not Available |
Full Name | Dr Michael Martin Luther Krownapple |
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Gender | Male |
Speciality | Psychologist - Clinical |
Location | 1010 W Columbia St, Farmington, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568779189 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 2008031123 (Missouri) | Primary |
Entity Name | Advanced Psychiatric Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154372464 PECOS PAC ID: 8820074297 Enrollment ID: O20040710000000 |
Entity Name | Deer Oaks Mental Health Associates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134175763 PECOS PAC ID: 2264337013 Enrollment ID: O20040813000106 |
Entity Name | Creative Change, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760515498 PECOS PAC ID: 4082714092 Enrollment ID: O20070705000115 |
Mailing Address | Practice Location Address |
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Dr Michael Martin Luther Krownapple, PSYD 2109a Russell Blvd, Saint Louis, MO 63104-2606 Ph: (314) 566-3391 | Dr Michael Martin Luther Krownapple, PSYD 1010 W Columbia St, Farmington, MO 63640-2902 Ph: (573) 218-6040 |
Dr. Pamela Renne Wallen, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1580 W Columbia St, Farmington, MO 63640 Phone: 573-760-1365 Fax: 573-760-0354 | |
Dr. Linda Lee Sutton Meade, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1016 W Columbia St, Sex Offender Rehabilitation And Treatment Services, Farmington, MO 63640 Phone: 573-218-6019 | |
Kelly Duron, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1016 W Columbia St, Farmington, MO 63640 Phone: 573-218-6120 | |
Dr. Byron Clayborne English, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1010 W Columbia St, Farmington, MO 63640 Phone: 573-218-6792 Fax: 573-218-6988 | |
Dr. Angela Marie Webb, PSY.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 212 W Columbia St Ste B, Farmington, MO 63640 Phone: 573-315-3800 |