Glenda F Stockwell, PHD | |
102 E Ravine Rd, Kingsport, TN 37660-3814 | |
(423) 245-9600 | |
(423) 245-9634 |
Full Name | Glenda F Stockwell |
---|---|
Gender | Female |
Speciality | Clinical Psychologist |
Experience | 37 Years |
Location | 102 E Ravine Rd, Kingsport, Tennessee |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952369613 | NPI | - | NPPES |
3983274 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TB0200X | Psychologist - Cognitive & Behavioral | PO2636 (Tennessee) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medical Education Assistance Corporation | 3870491269 | 145 |
Entity Name | Medical Education Assistance Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235180480 PECOS PAC ID: 3870491269 Enrollment ID: O20040206000795 |
Mailing Address | Practice Location Address |
---|---|
Glenda F Stockwell, PHD Po Box 699, Mountain Home, TN 37684-0699 Ph: (423) 245-9600 | Glenda F Stockwell, PHD 102 E Ravine Rd, Kingsport, TN 37660-3814 Ph: (423) 245-9600 |
Dr. Thomas J Burns, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 108 E Main St, Ste 210a, Kingsport, TN 37660 Phone: 423-392-6898 Fax: 423-392-6900 | |
Dr. Rebecca Carolyn Otwell-dove, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2002 Brookside Dr Ste 200, Kingsport, TN 37660 Phone: 423-530-7970 | |
Mrs. Elizabeth Ann Jones, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2001 Stonebrook Pl, Assessment And Forensic Services, Kingsport, TN 37660 Phone: 423-224-1318 Fax: 423-224-1328 | |
Ladonna Selby Carey, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1201 N Eastman Rd, Ste 122, Kingsport, TN 37664 Phone: 423-230-0909 Fax: 423-357-7755 | |
Mr. Michael Wayne Miller, LPE Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1570 Waverly Rd, Kingsport, TN 37664 Phone: 423-224-1300 Fax: 423-224-1375 | |
Julia Wallin Culligan, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1244 Catawba St, Kingsport, TN 37660 Phone: 423-857-5571 Fax: 423-857-5237 | |
Mr. Jorge Federico Fuchs, MA SPF Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2001 Stonebrook Place, Kingsport, TN 37660 Phone: 423-224-1318 Fax: 423-224-1328 |