Dr Mitzi L Wood-von Mizener, PSYD is a
Psychologist based in Manchester, Tennessee. Dr Mitzi L Wood-von Mizener is licensed to practice in Tennessee (license number 2192) and her current practice location is
395 Interstate Dr, Manchester, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(615) 673-6737.
NPI number for Dr Mitzi L Wood-von Mizener is 1932122058 and her current mailing address is 3907 Bonnavista Dr, Hermitage, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1932122058.
Healthcare Provider's Profile
| Full Name | Dr Mitzi L Wood-von Mizener |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist |
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| Location | 395 Interstate Dr, Manchester, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1932122058
- Provider Enumeration Date: 07/26/2006
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Dr Mitzi L Wood-von Mizener such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932122058 | NPI | - | NPPES |
| 3689125 | Medicaid | TN | |
| 3689127 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | 2192 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mitzi L Wood-von Mizener is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Mitzi L Wood-von Mizener, PSYD
3907 Bonnavista Dr,
Hermitage, TN 37076-1122
Ph: (615) 673-6737 | Dr Mitzi L Wood-von Mizener, PSYD
395 Interstate Dr,
Manchester, TN 37355-3108
Ph: (615) 673-6737 |
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