| Douglas Muccio, PHD | |
|
8577 E Market St, Warren, OH 44484-2345 | |
| (330) 856-6663 | |
| (330) 856-1581 |
| Full Name | Douglas Muccio |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Exercise & Sports |
| Location | 8577 E Market St, Warren, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497934855 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TE1100X | Psychologist - Exercise & Sports | RJ948942 (Ohio) | Primary |
| Entity Name | Psy-care, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396705349 PECOS PAC ID: 9335136795 Enrollment ID: O20040428000034 |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas Muccio, PHD 8577 E Market St, Warren, OH 44484-2345 Ph: (330) 856-6663 | Douglas Muccio, PHD 8577 E Market St, Warren, OH 44484-2345 Ph: (330) 856-6663 |
Tonya Hardway, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3465 Tod Ave Nw, Warren, OH 44485 Phone: 330-675-6980 | |
Dr. Betsy Bryan, P.C.C., PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8577 E Market St, Warren, OH 44484 Phone: 330-856-6663 | |
Mr. Douglas Crush, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1934 Niles Cortland Rd Ne, Ste B, Warren, OH 44484 Phone: 330-841-4032 Fax: 330-841-4381 | |
Mr. Jeffrey William Johnson, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 105 High Street, Warren, OH 44483 Phone: 330-814-2318 Fax: 330-675-8620 | |
Dr. Kathryn R. Shroder, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9325 Bay Hill Dr Ne, Warren, OH 44484 Phone: 330-609-9980 | |
Mr. Albert M Pondillo Jr., PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1704 North Road Se, Warren, OH 44484 Phone: 330-856-4111 Fax: 330-856-5839 | |
Mrs. Kelsey Rae Shelton, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1155 Niles Cortland Rd Se, Warren, OH 44484 Phone: 859-462-0066 |