Lisa Ann Mcmichael, PSYD | |
608 W Glen Arbor Way, Bloomington, IN 47403-4537 | |
(812) 345-0492 | |
(812) 333-0961 |
Full Name | Lisa Ann Mcmichael |
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Gender | Female |
Speciality | Psychologist - Clinical |
Location | 608 W Glen Arbor Way, Bloomington, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609937135 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 20041347A (Indiana) | Primary |
103TC0700X | Psychologist - Clinical | 5436 (Ohio) | Secondary |
Entity Name | Henry County Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407880909 PECOS PAC ID: 0345141644 Enrollment ID: O20040120000128 |
Mailing Address | Practice Location Address |
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Lisa Ann Mcmichael, PSYD 608 W Glen Arbor Way, Bloomington, IN 47403-4537 Ph: (812) 345-0492 | Lisa Ann Mcmichael, PSYD 608 W Glen Arbor Way, Bloomington, IN 47403-4537 Ph: (812) 345-0492 |
Dr. Jennifer Michael Spencer, PHD HSPP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 631 N College Ave, Bloomington, IN 47404 Phone: 812-333-8474 | |
Dr. Carolyn Louise Lee, PH.D., ABPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 600 N Jordan Ave, Bloomington, IN 47405 Phone: 812-855-5711 | |
Dr. Jack E. Thomas, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2108 S Locust Ct, Bloomington, IN 47401 Phone: 812-325-6877 | |
Michele Koselke, PSYD, HSPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 205 N College Ave Ste 312, Bloomington, IN 47404 Phone: 317-941-3258 Fax: 317-534-3677 | |
Dr. Kodee Walls, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 600 N Eagleson Ave, Bloomington, IN 47405 Phone: 812-855-5711 | |
Nickolaus H Gastil, PSYCH Psychologist Medicare: Not Enrolled in Medicare Practice Location: 645 S Rogers St, Bloomington, IN 47403 Phone: 812-314-3400 Fax: 812-337-2438 | |
Sydney F Anderson, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 637 N College Ave, Bloomington, IN 47404 Phone: 812-331-2800 |