| Jacob Brewer, | |
|
405 E Excelsior Ave, Vinita, OK 74301-4226 | |
| (918) 256-6476 | |
| Not Available |
| Full Name | Jacob Brewer |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Counseling |
| Location | 405 E Excelsior Ave, Vinita, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508450149 | NPI | - | NPPES |
| 0HG71 | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Brewer, 1617 D St Ne, Miami, OK 74354-2743 Ph: (918) 325-3641 | Jacob Brewer, 405 E Excelsior Ave, Vinita, OK 74301-4226 Ph: (918) 256-6476 |
Dr. Curtis Todd Grundy, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1520 North Industrial Rd, Vinita, OK 74301 Phone: 918-629-8664 Fax: 918-782-4301 | |
Dr. Scott Orth, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 24800 S 4420 Rd, Vinita, OK 74301 Phone: 918-713-5581 | |
Autumn Slaughter, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 24800 S 4420 Rd, Vinita, OK 74301 Phone: 918-256-7841 | |
Dr. Elizabeth Mollette Grundy, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1520 North Industrial Road, Vinita, OK 74301 Phone: 918-629-8664 Fax: 918-782-4301 | |
Alicia Ann Irvin, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 442104 E. 250 Rd, Vinita, OK 74301 Phone: 918-256-7841 | |
Dr. Peter Rausch, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 735 N. Foreman St., Vinita, OK 74301 Phone: 918-289-5249 Fax: 918-256-0397 |