| Janet Mcewan, PHD | |
|
340 Magnolia Cir, Tyndall Afb, FL 32403 | |
| (850) 283-7511 | |
| Not Available |
| Full Name | Janet Mcewan |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 340 Magnolia Cir, Tyndall Afb, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053677054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY6998 (Florida) | Primary |
| Entity Name | Cotler Healthcare & Development Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225075047 PECOS PAC ID: 0143121145 Enrollment ID: O20040114000075 |
| Entity Name | Doctor On Demand Professionals P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174931448 PECOS PAC ID: 9436464567 Enrollment ID: O20150818004696 |
| Mailing Address | Practice Location Address |
|---|---|
| Janet Mcewan, PHD Po Box 15084, Panama City, FL 32406-5084 Ph: (954) 612-8964 | Janet Mcewan, PHD 340 Magnolia Cir, Tyndall Afb, FL 32403 Ph: (850) 283-7511 |
Dr. David Anthony Soper, PH.D., HSPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 340 Magnolia Cir, Tyndall Afb, FL 32403 Phone: 850-283-7511 | |
Dominique D. Gougis, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 325 Mdg, 340 Magnolia Circle, Tyndall Afb, FL 32403 Phone: 850-283-7511 |