Dr Laura Elizabeth Reardon, PHD | |
1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638 | |
(402) 232-2273 | |
Not Available |
Full Name | Dr Laura Elizabeth Reardon |
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Gender | Female |
Speciality | Psychologist - Clinical |
Location | 1100 Wilford Hall Loop, Jbsa Lackland, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023290459 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Secondary |
103T00000X | Psychologist | PY8304 (Florida) | Secondary |
103TC0700X | Psychologist - Clinical | 39396 (Texas) | Primary |
Entity Name | Psychfit360 |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609586817 PECOS PAC ID: 8022488188 Enrollment ID: O20230105002553 |
Mailing Address | Practice Location Address |
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Dr Laura Elizabeth Reardon, PHD 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638 Ph: () - | Dr Laura Elizabeth Reardon, PHD 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638 Ph: (402) 232-2273 |
Dr. Mario George Nicolas, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 Phone: 210-292-6225 | |
Jeanette C Santos, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-5972 Fax: 210-292-5499 | |
Dr. Edny Joseph Bryant, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 Phone: 210-292-7631 | |
Dr. Elizabeth Najera, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-1602 | |
Dr. Chase Alan Aycock, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-7361 | |
Dr. Natalie Marie Roy, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-1602 |