| Dr Kevin James Weis, PSYD | |
|
2325 Brookstone Centre Pkwy, Columbus, GA 31904-4500 | |
| (706) 653-6841 | |
| (706) 653-7843 |
| Full Name | Dr Kevin James Weis |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 2325 Brookstone Centre Pkwy, Columbus, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699791541 | NPI | - | NPPES |
| 54641 | Other | FL | BLUECROSSBLUESHIELD |
| 7761336 | Other | FL | AETNA PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | PSY003142 (Georgia) | Primary |
| Entity Name | Lifespan Psychology, P.c |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003205741 PECOS PAC ID: 0840511291 Enrollment ID: O20150610001422 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kevin James Weis, PSYD 2325 Brookstone Centre Pkwy, Columbus, GA 31904-4500 Ph: (706) 653-6841 | Dr Kevin James Weis, PSYD 2325 Brookstone Centre Pkwy, Columbus, GA 31904-4500 Ph: (706) 653-6841 |
Dr. Renato Popovic, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2601 Cross Country Dr, Columbus, GA 31906 Phone: 706-568-7628 | |
Ocean Adams, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4225 University Ave, Columbus, GA 31907 Phone: 706-568-2445 | |
Dr. William L Candler Jr., PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1310 13th Avenue, Columbus, GA 31901 Phone: 706-257-7215 Fax: 706-257-7233 | |
Cheryl Kay Yatsko, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4225 University Ave, Schuster Center, Third Floor, Columbus, GA 31907 Phone: 706-507-8741 | |
Shanice Nichelle Murphy, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6201 River Rd Apt 605, Columbus, GA 31904 Phone: 706-587-4417 | |
Dr. David Pierce Walker, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2325 Brookstone Centre Pkwy, Columbus, GA 31904 Phone: 706-653-6841 Fax: 706-653-7843 | |
Dr. Caroline Sawyer, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 8160 Veterans Pkwy Apt 1228, Columbus, GA 31909 Phone: 920-915-0923 |