| Dr David Wayne Gavel, PHD | |
|
1 Commerce Dr Ste 106, Hattiesburg, MS 39402-1499 | |
| (601) 255-1618 | |
| (601) 255-1619 |
| Full Name | Dr David Wayne Gavel |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Counseling |
| Location | 1 Commerce Dr Ste 106, Hattiesburg, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659840171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 581027 (Mississippi) | Primary |
| Entity Name | Southern Behavioral Medicine Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487950564 PECOS PAC ID: 0547442766 Enrollment ID: O20110329000359 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David Wayne Gavel, PHD 1 Commerce Dr Ste 106, Hattiesburg, MS 39402-1499 Ph: (601) 255-1618 | Dr David Wayne Gavel, PHD 1 Commerce Dr Ste 106, Hattiesburg, MS 39402-1499 Ph: (601) 255-1618 |
Dr. Kristy Disabatino Mcraney, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 129 Golden Eagle Avenue Rm 201, Hattiesburg, MS 39406 Phone: 601-266-4588 Fax: 601-266-6928 | |
Lynwood Clinton Wheeler, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 102 Medical Park, Hattiesburg, MS 39401 Phone: 601-261-5159 Fax: 601-545-1740 | |
John Clemmons, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 239 Methodist Blvd, Hattiesburg, MS 39402 Phone: 601-296-2125 Fax: 601-268-8645 | |
Marcia J Hartwig, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-268-5620 Fax: 601-268-5720 | |
Ryan Myles Denney, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2 Southern Point Pkwy, Suite 200, Hattiesburg, MS 39401 Phone: 601-261-5159 Fax: 601-268-2039 | |
John Richard Harsh, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 101 Courtenay Cir, Hattiesburg, MS 39402 Phone: 601-579-5180 | |
Dr. Sidne Buelow, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 104 Dogwood Dr, Hattiesburg, MS 39402 Phone: 601-818-3079 |