Fred Prindaville, PHD | |
210 W 21st St, Concordia, KS 66901-5200 | |
(785) 243-8900 | |
(785) 243-8933 |
Full Name | Fred Prindaville |
---|---|
Gender | Male |
Speciality | Psychologist |
Location | 210 W 21st St, Concordia, Kansas |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760425920 | NPI | - | NPPES |
119780 | Other | KS | BCBS |
200440650A | Medicaid | KS | |
11654639 | Other | CAQH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 0487 (Kansas) | Primary |
Mailing Address | Practice Location Address |
---|---|
Fred Prindaville, PHD Po Box 747, Manhattan, KS 66505-0747 Ph: (785) 587-4300 | Fred Prindaville, PHD 210 W 21st St, Concordia, KS 66901-5200 Ph: (785) 243-8900 |
Patricia Prindaville, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 210 W 21st St, Concordia, KS 66901 Phone: 785-243-8900 Fax: 785-243-8933 | |
Megan M Blackley, LMLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 210 W 21st St, Concordia, KS 66901 Phone: 785-243-8900 |