| Barbara J Wallis, LPCC-SUPV | |
|
130 W 3rd St, Dover, OH 44622-2934 | |
| (330) 343-6600 | |
| (330) 343-6405 |
| Full Name | Barbara J Wallis |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 20 Years |
| Location | 130 W 3rd St, Dover, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124431515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | E.0600069 SUPV (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ryan L Dunn Phd Inc | 3577465244 | 6 |
| Entity Name | Ryan L Dunn Phd Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033224761 PECOS PAC ID: 3577465244 Enrollment ID: O20040122001185 |
| Mailing Address | Practice Location Address |
|---|---|
| Barbara J Wallis, LPCC-SUPV 130 W 3rd St, Dover, OH 44622-2934 Ph: (330) 343-6600 | Barbara J Wallis, LPCC-SUPV 130 W 3rd St, Dover, OH 44622-2934 Ph: (330) 343-6600 |
Mrs. Jill Ann Watson, LPC, CTT Counselor Medicare: Medicare Enrolled Practice Location: 547 1/2 S James St, Ste. A, Dover, OH 44622 Phone: 330-343-7400 Fax: 330-343-7414 | |
Jacqueline Lynn Hostetler, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 Hospital Dr, Dover, OH 44622 Phone: 330-343-6631 Fax: 330-343-8188 | |
Lisa Barnes, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 S. Wooster Ave, Dover, OH 44622 Phone: 833-510-4357 | |
Patricia Virginia Small, LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 W 3rd St, Dover, OH 44622 Phone: 303-436-6003 Fax: 330-343-6405 | |
Joseph Tyler Lemmer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 Hospital Dr, Dover, OH 44622 Phone: 330-343-6631 | |
Mrs. Tifanie Ann Kukwa, LPCC-SUPV, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 W 3rd St, Dover, OH 44622 Phone: 330-343-6600 Fax: 330-343-6600 |