| Dr Lisa Jewell Michael, PHD | |
|
22251 State Route 2, Archbold, OH 43502-9452 | |
| (419) 445-1552 | |
| (419) 445-1401 |
| Full Name | Dr Lisa Jewell Michael |
|---|---|
| Gender | Female |
| Speciality | Psychologist |
| Location | 22251 State Route 2, Archbold, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932182128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6062 (Ohio) | Secondary |
| 103T00000X | Psychologist | 6062 (Ohio) | Primary |
| Entity Name | Henry County Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407880909 PECOS PAC ID: 0345141644 Enrollment ID: O20040120000128 |
| Entity Name | Shalom Ministries |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366573552 PECOS PAC ID: 7911376033 Enrollment ID: O20221213001281 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lisa Jewell Michael, PHD 22251 State Route 2, Archbold, OH 43502-9452 Ph: (419) 445-1552 | Dr Lisa Jewell Michael, PHD 22251 State Route 2, Archbold, OH 43502-9452 Ph: (419) 445-1552 |
Lynnette Olnhausen, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 205 Nolan Pkwy, Archbold, OH 43502 Phone: 567-444-4800 | |
Ms. Jenifer Klausing, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 205 Nolan Pkwy, Archbold, OH 43502 Phone: 567-444-4800 | |
Mandi Johnson, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 205 Nolan Pkwy, Archbold, OH 43502 Phone: 567-444-4800 | |
Dr. Kristine Siesel Fauver, ED.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 205 Nolan Parkway, Nwoesc, Archbold, OH 43502 Phone: 567-444-4808 Fax: 564-444-4804 | |
Esther Rupp, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 306 Stryker St, Archbold, OH 43502 Phone: 419-446-2726 | |
Chanda Denham-swank, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 205 Nolan Pkwy, Archbold, OH 43502 Phone: 567-444-4808 | |
Amanda Kujawa, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 205 Nolan Pkwy, Archbold, OH 43502 Phone: 567-444-4808 Fax: 567-444-4801 |