Dr Ronald Ray Sellers, PHD | |
2308 Andover Pl, Charleston, IL 61920-3808 | |
(217) 825-4335 | |
Not Available |
Full Name | Dr Ronald Ray Sellers |
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Gender | Male |
Speciality | Psychologist - Clinical |
Location | 2308 Andover Pl, Charleston, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336606110 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 071-002396 (Illinois) | Primary |
Entity Name | Keri Powell Therapy Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174751663 PECOS PAC ID: 9638335532 Enrollment ID: O20120720000534 |
Mailing Address | Practice Location Address |
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Dr Ronald Ray Sellers, PHD 2308 Andover Pl, Charleston, IL 61920-3808 Ph: (217) 825-4335 | Dr Ronald Ray Sellers, PHD 2308 Andover Pl, Charleston, IL 61920-3808 Ph: (217) 825-4335 |
Dr. Linda Leal, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2611 Salem Rd, Charleston, IL 61920 Phone: 217-348-8867 Fax: 217-348-8867 | |
Dr. Derek Phillips, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 700 W Lincoln Ave, Charleston, IL 61920 Phone: 217-238-4042 Fax: 217-238-4053 | |
Dr. Jerry L. Boyd, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1901 18th St, Charleston, IL 61920 Phone: 217-348-7911 Fax: 217-348-3909 |