Dr Michael R Ghormley, PHD | |
3305 81st St, Ste H, Lubbock, TX 79423-2042 | |
(806) 748-6400 | |
(806) 748-6110 |
Full Name | Dr Michael R Ghormley |
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Gender | Male |
Speciality | Psychologist - Health Service |
Location | 3305 81st St, Lubbock, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972536647 | NPI | - | NPPES |
86988A | Other | TX | BCBS |
165423803 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TH0100X | Psychologist - Health Service | 31739 (Texas) | Primary |
Entity Name | Stonebridge Behavioral Health, P.a. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861528390 PECOS PAC ID: 3274563929 Enrollment ID: O20050812000876 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael R Ghormley, PHD 1431 Wirt Rd # 104, Houston, TX 77055-4916 Ph: (806) 748-6400 | Dr Michael R Ghormley, PHD 3305 81st St, Ste H, Lubbock, TX 79423-2042 Ph: (806) 748-6400 |
Dr. Michael J Ratheal, ED.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 5502 58th St, #600, Lubbock, TX 79414 Phone: 806-792-3808 Fax: 806-792-1506 | |
Dr. King Landiss Buchanan Ii, Psychologist Medicare: May Accept Medicare Assignments Practice Location: 8008 Slide Rd, Lubbock, TX 79424 Phone: 806-798-8855 | |
Dr. Patrick David Randolph, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 5147 69th St Ste D, Lubbock, TX 79424 Phone: 806-771-8808 Fax: 806-771-8809 | |
Austin P. Wade, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1003 Flint Ave, Lubbock, TX 79409 Phone: 806-742-3674 | |
Emily Catherine Pali, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3601 4th St, Lubbock, TX 79430 Phone: 806-725-4878 | |
Shelby B Daniel, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5301 13th St, Lubbock, TX 79416 Phone: 940-636-2184 | |
Dr. Stephen Cook, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 18th & Boston, #111a, Lubbock, TX 79409 Phone: 806-742-3737 Fax: 806-742-3799 |