| Dr Dean Jm Mooney, PHD | |
|
167 North Main St., Wallingford, VT 05773 | |
| (802) 446-3577 | |
| (802) 446-3801 |
| Full Name | Dr Dean Jm Mooney |
|---|---|
| Gender | Male |
| Speciality | Clinical Psychologist |
| Experience | 35 Years |
| Location | 167 North Main St., Wallingford, Vermont |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568686822 | NPI | - | NPPES |
| 1022361 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 620 (Vermont) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Maple Leaf Clinic Pc | 8426463951 | 2 |
| Entity Name | Maple Leaf Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851715635 PECOS PAC ID: 8426463951 Enrollment ID: O20210216001561 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dean Jm Mooney, PHD 167 North Main St., Wallingford, VT 05773 Ph: (802) 446-3577 | Dr Dean Jm Mooney, PHD 167 North Main St., Wallingford, VT 05773 Ph: (802) 446-3577 |
Dr. Michael William Kesler, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 167 N Main St, Wallingford, VT 05773 Phone: 802-446-3577 Fax: 802-446-3801 | |
Lindsey Gail Johnston, M.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 167 N Main St, Wallingford, VT 05773 Phone: 802-446-3577 Fax: 802-446-3801 | |
Mr. Seth Joshua Peets, M.A., CAGS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 167 N Main St, Wallingford, VT 05773 Phone: 802-446-3577 |