| Dr John Wesley Addis, PHD | |
|
23 Kennedy Street, Suite 202, Bradford, PA 16701-2005 | |
| (814) 362-2136 | |
| (814) 362-2136 |
| Full Name | Dr John Wesley Addis |
|---|---|
| Gender | Male |
| Speciality | Psychologist |
| Location | 23 Kennedy Street, Bradford, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306028105 | NPI | - | NPPES |
| 6803636 | Other | PA | VALUE OPTIONS |
| 0004277250 | Other | PA | AETNA |
| 000507570001 | Other | NY | BCBS OF WNY |
| 1415000 | Other | PA | MEGALLAN |
| P009953 | Other | PA | TRICARE |
| 00050141001 | Other | PA | HMO |
| 031013 | Other | PA | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PS002352L (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John Wesley Addis, PHD 23 Kennedy Street, Suite 202, Bradford, PA 16701-2005 Ph: (814) 362-2136 | Dr John Wesley Addis, PHD 23 Kennedy Street, Suite 202, Bradford, PA 16701-2005 Ph: (814) 362-2136 |
Jackson L Stewart, PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 110 Campus Dr, Bradford, PA 16701 Phone: 814-362-6535 | |
David Dean Harten, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 110 Campus Dr, The Guidance Center, Bradford, PA 16701 Phone: 814-362-6535 Fax: 814-362-7358 | |
Virginia G Fass, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2 Main St, Suite 315, Bradford, PA 16701 Phone: 814-362-5579 Fax: 814-368-5997 | |
Mark Fugate, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 800 E Main St, Bradford, PA 16701 Phone: 814-817-1400 Fax: 814-362-5245 | |
Dr. Danielle L Garris, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 800 E Main St, Bradford, PA 16701 Phone: 814-817-1400 Fax: 814-362-2185 | |
Mary Anne Polucci-sherman, PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 110 Campus Dr, Bradford, PA 16701 Phone: 814-362-6535 |