| Matthew Powless, PHD, HSPP | |
|
100 N Saint Joseph Ave, Evansville, IN 47712-5506 | |
| (812) 483-8800 | |
| Not Available |
| Full Name | Matthew Powless |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Counseling |
| Location | 100 N Saint Joseph Ave, Evansville, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811653256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TE1100X | Psychologist - Exercise & Sports | 20043341B (Indiana) | Secondary |
| 103TC1900X | Psychologist - Counseling | 20043341B (Indiana) | Primary |
| Entity Name | Easter Seals Rehabilitation Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003979964 PECOS PAC ID: 8426135179 Enrollment ID: O20080407000063 |
| Entity Name | University Of Evansville |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265211288 PECOS PAC ID: 8426496001 Enrollment ID: O20240402000569 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Powless, PHD, HSPP 7555 Marywood Dr, Newburgh, IN 47630-3044 Ph: (812) 483-8800 | Matthew Powless, PHD, HSPP 100 N Saint Joseph Ave, Evansville, IN 47712-5506 Ph: (812) 483-8800 |
Michelle E Mastin, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3900 Washington Ave # 100, Evansville, IN 47714 Phone: 812-485-6694 | |
Brian Thomas Longwell, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 120 Se 4th St, Evansville, IN 47708 Phone: 812-426-9862 Fax: 812-426-9779 | |
Dr. Madison Stout, PHD, HSPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1931 Lincoln Ave Ste A, Evansville, IN 47714 Phone: 812-488-5640 | |
Prof. Nannette Stump, PHD, HSPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3700 Washington Ave, Evansville, IN 47714 Phone: 812-485-5612 Fax: 812-485-5628 | |
Dr. John F Ireland, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3101 N Green River Rd, Suite 910, Evansville, IN 47715 Phone: 812-479-1916 Fax: 812-479-5014 | |
Ms. Dawn Shaner Gable, PHD HSPP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 819 W Franklin St, Evansville, IN 47710 Phone: 812-491-1805 Fax: 812-491-1929 | |
Brittney Wallace, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1301 Judson St, Evansville, IN 47713 Phone: 812-435-8304 |