| Dr Kayette Marie Glass, PSYD | |
|
4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | |
| (573) 596-0522 | |
| Not Available |
| Full Name | Dr Kayette Marie Glass |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 4430 Missouri Ave, Fort Leonard Wood, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215295050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2012012256 (Missouri) | Primary |
| Entity Name | Mercy Clinic Springfield Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245277631 PECOS PAC ID: 7416865845 Enrollment ID: O20031104000060 |
| Entity Name | Mercy Clinic Springfield Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972771657 PECOS PAC ID: 7416865845 Enrollment ID: O20031218000354 |
| Entity Name | The Arc Of The Ozarks |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285906107 PECOS PAC ID: 7810159332 Enrollment ID: O20120430000480 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kayette Marie Glass, PSYD 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 Ph: (573) 596-0522 | Dr Kayette Marie Glass, PSYD 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 Ph: (573) 596-0522 |
Dr. Daniel A Good, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0035 | |
Dr. Debbie D. Love, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-7726 | |
Mr. Alan Henry Storey Jr., M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 126 Missouri Ave # 1267, Mcxp-ccs-cr, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 Fax: 573-596-0524 | |
Dr. Phillip Gene Fellwock, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 | |
Dr. Kirsten Marie Pollick, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 126 Missouri Ave, Mcxp-ccs-cr, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 Fax: 573-596-0524 | |
Dr. Michelle L Whitlock, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-1507 |