Tessa J Coltrin, PSYD is a
Psychologist based in Springfield, Missouri. Tessa J Coltrin is licensed to practice in Missouri (license number 2009010491) and her current practice location is
3800 S National Ave Ste 770, Springfield, Missouri. She can be reached at her office (for appointments etc.) via phone at
(417) 269-6891.
NPI number for Tessa J Coltrin is 1255512778 and her current mailing address is Po Box 4046, Springfield, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255512778.
Healthcare Provider's Profile
| Full Name | Tessa J Coltrin |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist |
|---|
| Location | 3800 S National Ave Ste 770, Springfield, Missouri |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1255512778
- Provider Enumeration Date: 11/27/2007
- Last Update Date: 10/17/2019
Medical Identifiers
Medical identifiers for Tessa J Coltrin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255512778 | NPI | - | NPPES |
| 431560263 | Other | MO | TRICARE |
| 197065719 | Medicaid | AR | |
| P01173068 | Other | MO | RR MCR |
| 1255512778 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 2009010491 (Missouri) | Secondary |
| 103T00000X | Psychologist | 2009010491 (Missouri) | Primary |
| 101YP2500X | Counselor - Professional | 2007035388 (Missouri) | 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. Tessa J Coltrin 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 |
|---|
Tessa J Coltrin, PSYD
Po Box 4046,
Springfield, MO 65808-4046
Ph: (417) 269-5712 | Tessa J Coltrin, PSYD
3800 S National Ave Ste 770,
Springfield, MO 65807-5283
Ph: (417) 269-6891 |
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