Dr Jonathan Clark Denman, PSYD is a
Psychologist based in Carterville, Illinois. Dr Jonathan Clark Denman is licensed to practice in Arkansas (license number 06-13AP-PL) and his current practice location is
119 Weisbrook Ln, Carterville, Illinois. He can be reached at his office (for appointments etc.) via phone at
(618) 969-7170.
NPI number for Dr Jonathan Clark Denman is 1639265663 and his current mailing address is 119 Weisbrook Ln, Carterville, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1639265663.
Healthcare Provider's Profile
Full Name | Dr Jonathan Clark Denman |
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Gender | Male |
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Speciality | Psychologist |
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Location | 119 Weisbrook Ln, Carterville, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1639265663
- Provider Enumeration Date: 10/05/2006
- Last Update Date: 08/12/2009
Medical Identifiers
Medical identifiers for Dr Jonathan Clark Denman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639265663 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 06-13AP-PL (Arkansas) | Primary |
103T00000X | Psychologist | 071.117560 (Illinois) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jonathan Clark Denman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Jonathan Clark Denman, PSYD 119 Weisbrook Ln, Carterville, IL 62918-2320 Ph: (618) 969-7170 | Dr Jonathan Clark Denman, PSYD 119 Weisbrook Ln, Carterville, IL 62918-2320 Ph: (618) 969-7170 |
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