| Fort Meigs Psychological Service | |
|
975 Commerce Dr Perrysburg OH 43551-5228 | |
| (419) 874-8257 | |
| (419) 874-9960 |
| Full Name | Fort Meigs Psychological Service |
|---|---|
| Speciality | Psychologist |
| Location | 975 Commerce Dr, Perrysburg, Ohio |
| Authorized Official Name and Position | Patricia A. Van Kley (PRESIDENT) |
| Authorized Official Contact | 4198748257 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fort Meigs Psychological Service 975 Commerce Dr Perrysburg OH 43551-5228 Ph: (419) 874-8257 | Fort Meigs Psychological Service 975 Commerce Dr Perrysburg OH 43551-5228 Ph: (419) 874-8257 |
| NPI Number | 1649337817 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 09/23/2009 |
| Medicare PECOS PAC ID | 5799831624 |
|---|---|
| Medicare Enrollment ID | O20090918000117 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649337817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 4836 (Ohio) | Primary |
| 104100000X | Social Worker | I0002078 (Ohio) | Secondary |
| Provider Name | Patricia A Vankley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942294541 PECOS PAC ID: 8527114453 Enrollment ID: I20090918000111 |
| Provider Name | Michael Roehrs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023001062 PECOS PAC ID: 3779621446 Enrollment ID: I20091117000710 |
| Provider Name | Barbara E Metcalf |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043225303 PECOS PAC ID: 5799800660 Enrollment ID: I20100915000760 |
| Provider Name | Lacey Michelle Wesche |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871639377 PECOS PAC ID: 0345573101 Enrollment ID: I20190610002280 |
| Provider Name | Caitlin Bayer |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1275081408 PECOS PAC ID: 6901241884 Enrollment ID: I20240301000908 |
| Provider Name | Annette R. Clark |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1902022999 PECOS PAC ID: 6507201266 Enrollment ID: I20240304003146 |
| Provider Name | Jean M Cook |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891781431 PECOS PAC ID: 9931544608 Enrollment ID: I20240304003317 |
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