Dr Merideth Ann Wirstiuk, PSYD | |
9300 Valley Childrens Pl, Madera, CA 93636 | |
(559) 353-6735 | |
(559) 353-6755 |
Full Name | Dr Merideth Ann Wirstiuk |
---|---|
Gender | Female |
Speciality | Psychologist - Clinical Child & Adolescent |
Location | 9300 Valley Childrens Pl, Madera, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760820187 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PSY29255 (California) | Secondary |
103TC2200X | Psychologist - Clinical Child & Adolescent | 05698 (Maryland) | Primary |
Entity Name | Kennedy Krieger Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871515783 PECOS PAC ID: 1759280597 Enrollment ID: O20031231000300 |
Mailing Address | Practice Location Address |
---|---|
Dr Merideth Ann Wirstiuk, PSYD 6201 Greenleigh Ave, Middle River, MD 21220-2004 Ph: (410) 933-0000 | Dr Merideth Ann Wirstiuk, PSYD 9300 Valley Childrens Pl, Madera, CA 93636 Ph: (559) 353-6735 |
Dennis Kent Unruh, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 14277 Road 28, Madera, CA 93638 Phone: 559-673-3508 Fax: 559-661-2818 | |
Diane Marie Mazzoni, MS, PPS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 37479 Avenue 12, Madera, CA 93636 Phone: 559-645-3572 | |
Mallory Roos, MA, PPS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 36477 Ruth Ave, Madera, CA 93636 Phone: 559-706-6167 | |
Brady C Bates, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9300 Valley Childrens Pl, Madera, CA 93638 Phone: 559-353-6735 Fax: 559-353-6755 | |
Dr. Ashley A Phillips, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9300 Valley Childrens Pl, Madera, CA 93636 Phone: 559-353-6735 | |
Michael Bradley Danovsky, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9300 Valley Childrens Pl, Madera, CA 93638 Phone: 559-353-6732 Fax: 559-353-6755 | |
Dr. Jessica Louie, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9300 Valley Childrens Pl, Madera, CA 93636 Phone: 559-353-6735 |