Steven R Pruett, PHD | |
4985 Searls Dr Nw, North Canton, OH 44720-7464 | |
(330) 966-0922 | |
Not Available |
Full Name | Steven R Pruett |
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Gender | Male |
Speciality | Psychologist - Clinical |
Location | 4985 Searls Dr Nw, North Canton, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255680492 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 6628 (Ohio) | Primary |
Entity Name | Illinois Post-acute Medical Services 1 Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952830853 PECOS PAC ID: 6305112103 Enrollment ID: O20171023002483 |
Entity Name | Nv Pacs 2 Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427534809 PECOS PAC ID: 0941550578 Enrollment ID: O20210804000886 |
Mailing Address | Practice Location Address |
---|---|
Steven R Pruett, PHD 334 Windemere Dr, Westerville, OH 43082-6321 Ph: (614) 668-2588 | Steven R Pruett, PHD 4985 Searls Dr Nw, North Canton, OH 44720-7464 Ph: (330) 966-0922 |
Kara Ann Bradford, SCHOOL PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1201 S Main St Ste 100, North Canton, OH 44720 Phone: 330-244-8782 | |
A Mackenzie Barickman, PSY D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4985 Searls Dr Nw, North Canton, OH 44720 Phone: 740-345-9197 | |
Eleanor Marie Hofmann, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6046 Whipple Ave Nw, North Canton, OH 44720 Phone: 330-433-1200 Fax: 330-305-5047 | |
Anna Pemberton, M.ED., ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 250 Orion St Nw, North Canton, OH 44720 Phone: 330-966-1007 | |
Donna G Mills, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4985 Searls Dr Nw, North Canton, OH 44720 Phone: 330-966-0922 | |
Robert Humphries Jr., PHD Psychologist Medicare: May Accept Medicare Assignments Practice Location: 1201 S Main St, Suite 100, North Canton, OH 44720 Phone: 330-244-8782 Fax: 330-244-8795 |