| Samuel Dewayne Oldham, PSYD | |
|
224 W. D.l. Ingram Ave, Bldg 1408, Cannon Afb, NM 88103 | |
| (575) 904-3917 | |
| Not Available |
| Full Name | Samuel Dewayne Oldham |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 224 W. D.l. Ingram Ave, Bldg 1408, Cannon Afb, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043517089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1980 (Alabama) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Dewayne Oldham, PSYD 224 W. D.l. Ingram Ave, Bldg 1408, Cannon Afb, NM 88103 Ph: (575) 904-3917 | Samuel Dewayne Oldham, PSYD 224 W. D.l. Ingram Ave, Bldg 1408, Cannon Afb, NM 88103 Ph: (575) 904-3917 |
Dr. Andrea Theye, PSY. D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 27th Special Operations Medical Group, 224 W D. L. Ingram Avenue, Bldg. 1408, Cannon Afb, NM 88103 Phone: 575-784-1108 | |
Marcia Marie Middel, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 27th Special Operations Medical Group, 224 D. L. Ingram Ave Bld. 1408, Cannon Afb, NM 88103 Phone: 575-904-3951 | |
Dr. June Ellen Shepherd, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: Mental Health Clinic, 27 Th Special Operations Group, 208 Casablanca, Cannon Afb, NM 88103 Phone: 575-784-1108 | |
Dr. Bryan W Bovitz, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 208 Casablanca Ave., 27 Sgomh, Cannon Afb, NM 88101 Phone: 575-784-1108 Fax: 575-784-4624 |