Larry Wasson Iii, | |
1011 22nd St, Sacramento, CA 95816-4907 | |
(305) 933-8172 | |
Not Available |
Full Name | Larry Wasson Iii |
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Gender | Male |
Speciality | Psychologist - Clinical |
Location | 1011 22nd St, Sacramento, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487188611 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | 34925 (California) | Primary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
Entity Name | Vantage Point Center For Psychotherapy |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326417056 PECOS PAC ID: 0749518140 Enrollment ID: O20190822003627 |
Mailing Address | Practice Location Address |
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Larry Wasson Iii, 2358 Maritime Dr Ste 110, Elk Grove, CA 95758-3662 Ph: () - | Larry Wasson Iii, 1011 22nd St, Sacramento, CA 95816-4907 Ph: (305) 933-8172 |
Brandi Hawk, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3671 Business Dr, Suite 110, Sacramento, CA 95820 Phone: 916-734-3125 | |
Dr. Oscar Steven Escobar, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 1500 W El Camino Ave # 420, Sacramento, CA 95833 Phone: 201-240-2495 | |
Dr. Edward E. Hall, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 418 Alhambra Blvd, Sacramento, CA 95816 Phone: 916-441-2210 Fax: 916-442-7002 | |
Dr. Hengameh Roohi, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3000 T St, Sacramento, CA 95816 Phone: 916-993-2677 | |
Dr. Margaret See-kee Lee, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2530 J St, Suite 310, Sacramento, CA 95816 Phone: 858-354-6999 Fax: 619-688-9222 | |
Dr. Tiffany Rose Mimms, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1521 Corporate Way, Ste 200, Sacramento, CA 95831 Phone: 916-216-8433 | |
Dr. Melissa L Jinariu, PSY.D., LMFT Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3671 Business Center Dr., Sacramento, CA 95820 Phone: 916-734-2278 Fax: 916-734-4150 |