Gary R Speulda, PSYD is a
Psychologist - Clinical based in Arlington, Tennessee. Gary R Speulda is licensed to practice in Illinois (license number 071-004767) and his current practice location is
12168 Preserve Woods Ln, Arlington, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(630) 525-1549.
NPI number for Gary R Speulda is 1194827014 and his current mailing address is 12168 Preserve Woods Ln, Arlington, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194827014.
Healthcare Provider's Profile
| Full Name | Gary R Speulda |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 12168 Preserve Woods Ln, Arlington, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1194827014
- Provider Enumeration Date: 09/01/2006
- Last Update Date: 02/06/2020
Medical Identifiers
Medical identifiers for Gary R Speulda such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194827014 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 071-004767 (Illinois) | 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. Gary R Speulda 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 |
|---|
Gary R Speulda, PSYD
12168 Preserve Woods Ln,
Arlington, TN 38002-4598
Ph: (630) 525-1549 | Gary R Speulda, PSYD
12168 Preserve Woods Ln,
Arlington, TN 38002-4598
Ph: (630) 525-1549 |
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