Everett Deane Dehaven, PHD | |
809 Elmhurst Blvd, Salina, KS 67401-7405 | |
(785) 823-6322 | |
(785) 823-3109 |
Full Name | Everett Deane Dehaven |
---|---|
Gender | Male |
Speciality | Clinical Psychologist |
Experience | 48 Years |
Location | 809 Elmhurst Blvd, Salina, Kansas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083653851 | NPI | - | NPPES |
041668 | Other | KS | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | LP 0554 (Kansas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Frederick J Tirrell Phd Professional Association | 8224017157 | 4 |
Entity Name | Frederick J Tirrell Phd Professional Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013076215 PECOS PAC ID: 8224017157 Enrollment ID: O20050330000383 |
Mailing Address | Practice Location Address |
---|---|
Everett Deane Dehaven, PHD 809 Elmhurst Blvd, Salina, KS 67401-7405 Ph: (785) 823-6322 | Everett Deane Dehaven, PHD 809 Elmhurst Blvd, Salina, KS 67401-7405 Ph: (785) 823-6322 |
Mr. David Alaric Winters, LMLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1804 Glendale, Salina, KS 67401 Phone: 785-823-5006 | |
Denise Puerto, Psychologist Medicare: Medicare Enrolled Practice Location: 730 Holly Ln, Salina, KS 67401 Phone: 785-452-4948 Fax: 785-452-6119 | |
Darrin Edwin Sewell, LMLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5097 W Cloud St, Salina, KS 67401 Phone: 785-825-0563 Fax: 785-825-0623 | |
Vesna M Matic-wright, LMLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 509 E Elm St, Salina, KS 67401 Phone: 785-825-0541 Fax: 785-825-4024 | |
Mrs. Nicole Elise Stewart, LMLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 645 E Iron Ave, Suite C, Salina, KS 67401 Phone: 785-823-0001 Fax: 785-914-5250 | |
Jeffrey Dohm, LCP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 809 Elmhurst Blvd, Salina, KS 67401 Phone: 785-823-6322 Fax: 785-823-3109 |