| Dr Herbert Walter Mcmichael, PHD | |
|
11555 1/2 Potrero Rd, Morongo Indian Reservation, Banning, CA 92220-6946 | |
| (800) 732-8805 | |
| (951) 487-9627 |
| Full Name | Dr Herbert Walter Mcmichael |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 11555 1/2 Potrero Rd, Banning, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699870006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY12097 (California) | Primary |
| Entity Name | Riverside-san Bernardino County Indian Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174676670 PECOS PAC ID: 4789867805 Enrollment ID: O20150508001121 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Herbert Walter Mcmichael, PHD Po Box 1426, Pauma Valley, CA 92061-1426 Ph: (760) 742-2048 | Dr Herbert Walter Mcmichael, PHD 11555 1/2 Potrero Rd, Morongo Indian Reservation, Banning, CA 92220-6946 Ph: (800) 732-8805 |
Heather Mercer, PSYD, DRPH Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11555 1/2 Potrero Rd, Banning, CA 92220 Phone: 951-849-4761 | |
Dr. Michael P Sloan, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 264 N Highland Springs Ave, Ste 1c, Banning, CA 92220 Phone: 951-845-8262 Fax: 951-845-6458 | |
Darren Tempest Burtenshaw, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1330 W Ramsey St, Banning, CA 92220 Phone: 951-849-7142 |