Angel Dawn Glick, | |
306 Main St, Logan, WV 25601-3906 | |
(304) 752-7707 | |
(304) 752-0772 |
Full Name | Angel Dawn Glick |
---|---|
Gender | Female |
Speciality | Clinical Psychologist |
Experience | 29 Years |
Location | 306 Main St, Logan, West Virginia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144377540 | NPI | - | NPPES |
9202037000 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 776 (West Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Boone Memorial Hospital Inc | 3375433352 | 49 |
Entity Name | Boone Memorial Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285686725 PECOS PAC ID: 3375433352 Enrollment ID: O20051111000050 |
Entity Name | Logan Mingo Area Mental Health, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427522218 PECOS PAC ID: 0840240362 Enrollment ID: O20190620002377 |
Entity Name | Boone Memorial Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871141366 PECOS PAC ID: 3375433352 Enrollment ID: O20201102001732 |
Mailing Address | Practice Location Address |
---|---|
Angel Dawn Glick, 306 Main St, Logan, WV 25601-3906 Ph: (304) 752-7707 | Angel Dawn Glick, 306 Main St, Logan, WV 25601-3906 Ph: (304) 752-7707 |
Mrs. Krystal Gail Stollings, MA ED.S Psychologist Medicare: Not Enrolled in Medicare Practice Location: 506 Holly Ave, Logan, WV 25601 Phone: 304-792-2088 Fax: 304-752-7471 | |
Mrs. Michelle Robertson Akers, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 306 Main St, Logan, WV 25601 Phone: 304-752-7707 Fax: 304-752-0772 | |
Jenna Marie Rycek, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5499 Old Logan Rd, Logan, WV 25601 Phone: 308-627-4711 | |
Staci Johnson, ED.S., NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 66 School St, Monaville, Logan, WV 25601 Phone: 304-792-2089 | |
Nicole Smith, Psychologist Medicare: Not Enrolled in Medicare Practice Location: Rt. 10 Three Mile Curve, Logan, WV 25601 Phone: 304-792-7130 Fax: 304-792-7146 | |
Mrs. Cassandra Richardson, MA EDS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 66 School St, Logan, WV 25601 Phone: 304-792-2082 |