Janice E Herron, PHD | |
6767 N Wickham Rd Ste 306, Melbourne, FL 32940-2025 | |
(321) 751-1925 | |
Not Available |
Full Name | Janice E Herron |
---|---|
Gender | Female |
Speciality | Psychologist - Family |
Location | 6767 N Wickham Rd Ste 306, Melbourne, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457355273 | NPI | - | NPPES |
NA | Other | NA | |
588076 | Other | MD | MAMSI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TF0000X | Psychologist - Family | 03722 (Maryland) | Primary |
103TC0700X | Psychologist - Clinical | PY11448 (Florida) | Secondary |
Entity Name | Psychology Associates Of Brevard Plc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922200278 PECOS PAC ID: 9638078025 Enrollment ID: O20040105000717 |
Mailing Address | Practice Location Address |
---|---|
Janice E Herron, PHD 6767 N Wickham Rd Ste 306, Melbourne, FL 32940-2025 Ph: (321) 751-1925 | Janice E Herron, PHD 6767 N Wickham Rd Ste 306, Melbourne, FL 32940-2025 Ph: (321) 751-1925 |
Chad Breznay, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 2120 Sarno Rd, Melbourne, FL 32935 Phone: 321-241-6800 Fax: 321-241-6888 | |
Sheila Ponce, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2020 Commerce Dr, Melbourne, FL 32904 Phone: 321-952-6000 | |
Dr. Krista Puente Trefz, PSY,D, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 400 E Sheridan Rd, Melbourne, FL 32901 Phone: 321-242-3110 Fax: 321-242-7464 | |
Dr. Camellia Ann Westwell, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2900 Veterans Way, Melbourne, FL 32940 Phone: 321-637-3788 | |
Kristopher J Olsen, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 6767 N Wickham Rd, Suite 306, Melbourne, FL 32940 Phone: 321-751-1925 Fax: 321-751-9261 | |
Jeffrey Michael Williamson, PH D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3700 N Harbor City Blvd, Ste 1d, Melbourne, FL 32935 Phone: 321-610-4703 Fax: 321-622-5948 | |
Dr. Wanda Louise Bethea, Psychologist Medicare: Medicare Enrolled Practice Location: 405 E Strawbridge Ave, Melbourne, FL 32901 Phone: 321-724-6177 |