Larry George Wooley, PSYD, HSPP is a
Psychologist - Clinical based in Columbia City, Indiana. Larry George Wooley is licensed to practice in Indiana (license number 20041608A) and his current practice location is
119 W Market St, Columbia City, Indiana. He can be reached at his office (for appointments etc.) via phone at
(260) 248-8176.
NPI number for Larry George Wooley is 1801879234 and his current mailing address is 850 N Harrison St, Attn: Anne Lawson, Warsaw, Indiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1801879234.
Healthcare Provider's Profile
Full Name | Larry George Wooley |
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Gender | Male |
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Speciality | Psychologist - Clinical |
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Location | 119 W Market St, Columbia City, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1801879234
- Provider Enumeration Date: 11/21/2005
- Last Update Date: 04/20/2011
Medical Identifiers
Medical identifiers for Larry George Wooley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1801879234 | NPI | - | NPPES |
200307900A | Medicaid | IN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 20041608A (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Larry George Wooley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Larry George Wooley, PSYD, HSPP 850 N Harrison St, Attn: Anne Lawson, Warsaw, IN 46580-3163 Ph: (574) 267-7169 | Larry George Wooley, PSYD, HSPP 119 W Market St, Columbia City, IN 46725-2311 Ph: (260) 248-8176 |
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