| Ms Susan Fralick, | |
|
1 Childrens Plz, Dayton, OH 45404-1873 | |
| (937) 641-3000 | |
| Not Available |
| Full Name | Ms Susan Fralick |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 1 Childrens Plz, Dayton, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548251325 | NPI | - | NPPES |
| 000000004356 | Other | OH | ANTHEM |
| 197091000 | Other | OH | MAGELLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | E0000555 (Ohio) | Primary |
| Entity Name | Springfield Psychiatric Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962541375 PECOS PAC ID: 4183514599 Enrollment ID: O20040318001159 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Susan Fralick, 1 Childrens Plz, Dayton, OH 45404-1873 Ph: (937) 641-3000 | Ms Susan Fralick, 1 Childrens Plz, Dayton, OH 45404-1873 Ph: (937) 641-3000 |
Jane M Winch, Counselor Medicare: Not Enrolled in Medicare Practice Location: 601 S Edwin C Moses Blvd, Fourth Floor Nw Building, Dayton, OH 45408 Phone: 937-276-8333 Fax: 937-276-8339 | |
Mrs. Darcie Rupert Clark, MS, LPCC, LCDCIII Counselor Medicare: Medicare Enrolled Practice Location: 11 W Monument Ave Ste 100, Dayton, OH 45402 Phone: 937-679-6301 Fax: 937-630-4391 | |
Amy Michelle Monteith, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7660 Stanley Mill Dr, Dayton, OH 45459 Phone: 937-475-4097 | |
Ashley H Hicks, PC Counselor Medicare: Not Enrolled in Medicare Practice Location: 601 S Edwin C Moses Blvd, 4th Floor, Nw Bldg., Dayton, OH 45417 Phone: 937-734-8333 Fax: 937-276-8269 | |
Shea Kvachuk, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1020 Woodman Dr Ste 330, Dayton, OH 45432 Phone: 937-253-0606 | |
Quanice Locke, LCDCII Counselor Medicare: Not Enrolled in Medicare Practice Location: 4977 Northcutt Pl, Dayton, OH 45414 Phone: 937-450-7790 | |
Sarah Byram, LPC Counselor Medicare: Medicare Enrolled Practice Location: 601 S Edwin C Moses Blvd, 4th Floor Nw Building, Dayton, OH 45417 Phone: 937-734-8333 |