Michelle Scoggins, PSYD | |
338 S Dakota Ave, Vandenberg Afb, CA 93437-6307 | |
(805) 606-8217 | |
Not Available |
Full Name | Michelle Scoggins |
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Gender | Female |
Speciality | Psychologist - Clinical |
Location | 338 S Dakota Ave, Vandenberg Afb, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417318569 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 103T00000X (California) | Primary |
Entity Name | Dr. Scoggins, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811543747 PECOS PAC ID: 9638505597 Enrollment ID: O20200212002424 |
Mailing Address | Practice Location Address |
---|---|
Michelle Scoggins, PSYD 338 S Dakota Ave, Vandenberg Afb, CA 93437-6307 Ph: (805) 606-8217 | Michelle Scoggins, PSYD 338 S Dakota Ave, Vandenberg Afb, CA 93437-6307 Ph: (805) 606-8217 |
Dr. Jared Alan Detter, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 338 S Dakota Ave, Vandenberg Afb, CA 93437 Phone: 805-606-8217 | |
Ms. Alexis Fletes, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 338 S Dakota Ave, Vandenberg Afb, CA 93437 Phone: 805-606-8217 | |
Anderson Rowan, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 338 S Dakota Ave, Vandenberg Afb, CA 93437 Phone: 805-606-8217 Fax: 805-606-4390 | |
Dr. Daniel Gross, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 338 S Dakota Ave, Vandenberg Afb, CA 93437 Phone: 805-606-8217 | |
Dr. Jennifer H Harris, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 338 S Dakota Ave, Vandenberg Afb, CA 93437 Phone: 805-606-6117 |