| Stephen W. Pearce, Psy.d., Inc. | |
|
3821 Little York Rd Dayton OH 45414-2409 | |
| (937) 275-6510 | |
| (937) 264-1101 |
| Full Name | Stephen W. Pearce, Psy.d., Inc. |
|---|---|
| Speciality | Counselor |
| Location | 3821 Little York Rd, Dayton, Ohio |
| Authorized Official Name and Position | Stephen W Pearce (PRESIDENT) |
| Authorized Official Contact | 9372756510 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen W. Pearce, Psy.d., Inc. 3821 Little York Rd Dayton OH 45414-2409 Ph: (937) 275-6510 | Stephen W. Pearce, Psy.d., Inc. 3821 Little York Rd Dayton OH 45414-2409 Ph: (937) 275-6510 |
| NPI Number | 1124163514 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 06/25/2012 |
| Medicare PECOS PAC ID | 7517122542 |
|---|---|
| Medicare Enrollment ID | O20120626000128 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124163514 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Stephen W Pearce, Psy., Inc. Psy.d. |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932189479 PECOS PAC ID: 8921068792 Enrollment ID: I20041015000353 |
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