Dr William Wallace Wardell, PHD | |
4314 Yoakum Blvd, Houston, TX 77006-5818 | |
(713) 850-0049 | |
Not Available |
Full Name | Dr William Wallace Wardell |
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Gender | Male |
Speciality | Psychologist - Clinical |
Location | 4314 Yoakum Blvd, Houston, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770505851 | NPI | - | NPPES |
034153901 | Medicaid | TX | |
034153902 | Medicaid | TX | |
P00930109 | Other | TX | RR MCR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TA0400X | Psychologist - Addiction (substance Use Disorder) | 23489 (Texas) | Secondary |
103TC0700X | Psychologist - Clinical | 23489 (Texas) | Primary |
Entity Name | Progressive Behavioral Health, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659567238 PECOS PAC ID: 4486794906 Enrollment ID: O20091214000763 |
Mailing Address | Practice Location Address |
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Dr William Wallace Wardell, PHD 4314 Yoakum Blvd, Houston, TX 77006-5818 Ph: (713) 850-0049 | Dr William Wallace Wardell, PHD 4314 Yoakum Blvd, Houston, TX 77006-5818 Ph: (713) 850-0049 |
Dennette Martinez, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3730 Kirby Dr Ste 800, Houston, TX 77098 Phone: 713-521-7575 | |
Eric Jerome Dearman, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 13827 Daehne Dr, Houston, TX 77014 Phone: 832-581-5297 | |
Dr. Hannah Lane Combs, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 7200 Cambridge St, Houston, TX 77030 Phone: 713-798-6177 | |
Marianne Carlson, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6550 Fannin St, Houston, TX 77030 Phone: 346-248-2040 | |
Carrell Morgan Chadwell, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12012 Wickchester Ln, Suite 550, Houston, TX 77079 Phone: 832-448-2800 Fax: 832-448-2801 | |
Mrs. Lynn Ellen Hungerford, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1300 Bay Area Blvd Bldg B #125, Houston, TX 77058 Phone: 281-218-7900 Fax: 281-218-6601 | |
Meagan Nicole Houston, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4606 Fm 1960 Rd W, Suite 407, Houston, TX 77069 Phone: 713-854-5654 |