Lisa D Brown, PSYD | |
307 N Main St, Windsor, MO 65360-1449 | |
(888) 403-1071 | |
Not Available |
Full Name | Lisa D Brown |
---|---|
Gender | Female |
Speciality | Psychologist - Cognitive & Behavioral |
Location | 307 N Main St, Windsor, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568488328 | NPI | - | NPPES |
498836303 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TB0200X | Psychologist - Cognitive & Behavioral | 2004033831 (Missouri) | Primary |
Entity Name | Pathways Psychiatric Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942254578 PECOS PAC ID: 6608855291 Enrollment ID: O20041119000348 |
Mailing Address | Practice Location Address |
---|---|
Lisa D Brown, PSYD 1800 Community, Clinton, MO 64735-8804 Ph: (660) 885-8131 | Lisa D Brown, PSYD 307 N Main St, Windsor, MO 65360-1449 Ph: (888) 403-1071 |
Beba Milagros Perez-rodriguez, PLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 307 N Main St, Windsor, MO 65360 Phone: 888-403-1071 | |
Tenea M Lowman, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 307 N. Main, Windsor, MO 65360 Phone: 660-647-2182 Fax: 660-647-2217 | |
Carl D Davis Jr., Psychologist Medicare: Not Enrolled in Medicare Practice Location: 307 N Main St, Windsor, MO 65360 Phone: 660-647-9921 Fax: 660-647-3617 | |
Amie Lynn Cooper, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 307 N Main St, Windsor, MO 65360 Phone: 660-647-2182 Fax: 660-647-3617 | |
Nadin R. Rizk, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 307 N Main St, Windsor, MO 65360 Phone: 888-403-1071 | |
Gloryvette Garcia, PLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 307 N Main St, Windsor, MO 65360 Phone: 844-853-8937 |