Jay Deiters, | |
1101 Veterans Dr, Lexington, KY 40502-2235 | |
(859) 233-4511 | |
Not Available |
Full Name | Jay Deiters |
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Gender | Male |
Speciality | Psychologist - Counseling |
Location | 1101 Veterans Dr, Lexington, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1104207042 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC1900X | Psychologist - Counseling | PSYPST00213906 (Kentucky) | Primary |
Entity Name | Vista Behavioral Health Associates, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043261480 PECOS PAC ID: 8123920907 Enrollment ID: O20040122000683 |
Entity Name | Cognitive Behavior Institute, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669884409 PECOS PAC ID: 7810213337 Enrollment ID: O20150227001272 |
Mailing Address | Practice Location Address |
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Jay Deiters, 1101 Veterans Dr, Lexington, KY 40502-2235 Ph: () - | Jay Deiters, 1101 Veterans Dr, Lexington, KY 40502-2235 Ph: (859) 233-4511 |
Mark A Etscheidt, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 740 S Limestone, Lexington, KY 40536 Phone: 859-323-5956 | |
Mr. James M Moughan, CPSYAF Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1351 Newtown Pike, Lexington, KY 40511 Phone: 859-253-1686 Fax: 859-254-2743 | |
Mary Beth Morgan, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1000 Monarch St, #250, Lexington, KY 40513 Phone: 859-296-3141 Fax: 859-296-3144 | |
Dr. Stephanie T. Judge, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 2220 Young Dr, Lexington, KY 40505 Phone: 859-277-1008 Fax: 859-277-1083 | |
Steven Joseph Mangine, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 261 Regency Cir, Suite 3, Lexington, KY 40503 Phone: 859-277-2844 | |
Amanda L Crabtree, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1351 Newtown Pike, Lexington, KY 40511 Phone: 859-253-1686 | |
Mrs. Kari Hall Jones, PSY. D. Psychologist Medicare: Medicare Enrolled Practice Location: 1030 Monarch St, Ste 100, Lexington, KY 40513 Phone: 859-296-3141 Fax: 859-554-5200 |