Dr Mary V Gwaltney, PHD is a
Psychologist - Clinical Child & Adolescent based in Sacramento, California. Dr Mary V Gwaltney is licensed to practice in California (license number LEP2540) and her current practice location is
3416 American River Dr, Suite B, Sacramento, California. She can be reached at her office (for appointments etc.) via phone at
(916) 972-9400.
NPI number for Dr Mary V Gwaltney is 1609037910 and her current mailing address is 3416 American River Dr, Suite B, Sacramento, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1609037910.
Healthcare Provider's Profile
| Full Name | Dr Mary V Gwaltney |
|---|
| Gender | Female |
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| Speciality | Psychologist - Clinical Child & Adolescent |
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| Location | 3416 American River Dr, Sacramento, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1609037910
- Provider Enumeration Date: 06/19/2008
- Last Update Date: 10/03/2012
Medical Identifiers
Medical identifiers for Dr Mary V Gwaltney such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609037910 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | LEP2540 (California) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | LEP2540 (California) | Primary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | LEP254 (California) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mary V Gwaltney is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Mary V Gwaltney, PHD
3416 American River Dr, Suite B,
Sacramento, CA 95864-5753
Ph: (916) 972-9400 | Dr Mary V Gwaltney, PHD
3416 American River Dr, Suite B,
Sacramento, CA 95864-5753
Ph: (916) 972-9400 |
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