| Leslie Donner, | |
|
2204 Kentucky Ave, Paducah, KY 42003-3242 | |
| (270) 777-4490 | |
| (866) 441-1083 |
| Full Name | Leslie Donner |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Health Service |
| Location | 2204 Kentucky Ave, Paducah, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124688890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TH0100X | Psychologist - Health Service | 115924 (Kentucky) | Primary |
| Entity Name | Integrated Psychological Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063163442 PECOS PAC ID: 0749651180 Enrollment ID: O20230124000521 |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie Donner, 2204 Kentucky Ave, Paducah, KY 42003-3242 Ph: (270) 777-4490 | Leslie Donner, 2204 Kentucky Ave, Paducah, KY 42003-3242 Ph: (270) 777-4490 |
Rebecca Fountain, LPA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 425 Broadway St, Paducah, KY 42001 Phone: 270-442-9767 | |
Wynn Lancaster-brown, MS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2204 Kentucky Ave, Paducah, KY 42003 Phone: 270-442-8785 Fax: 270-443-1784 | |
Ashlee Brockwell, LPP Psychologist Medicare: Medicare Enrolled Practice Location: 425 Broadway St, Paducah, KY 42001 Phone: 270-442-1452 | |
Mr. Douglas Dayne Wells, M.A., L.P.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2204 Kentucky Ave, Paducah, KY 42003 Phone: 270-442-8785 Fax: 270-443-1784 | |
Dr. Kristy Anna Kilcoyne, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1700 Kentucky Ave Ste 106, Paducah, KY 42003 Phone: 270-442-0834 Fax: 270-442-0826 | |
Ms. Heather Losser, LPA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 425 Broadway St, Paducah, KY 42001 Phone: 270-442-7121 |