| Melissa Tuttle, PHD, LP | |
|
500 W Market St, Tiffin, OH 44883-2610 | |
| (419) 455-8153 | |
| Not Available |
| Full Name | Melissa Tuttle |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 500 W Market St, Tiffin, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194140178 | NPI | - | NPPES |
| 0024081 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | P.08392 (Ohio) | Primary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 6301016804 (Michigan) | Secondary |
| Entity Name | Northwest Pediatric Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033709100 PECOS PAC ID: 6709279276 Enrollment ID: O20220204000359 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Tuttle, PHD, LP 2222 Cherry St Ste 1900, Toledo, OH 43608-2673 Ph: (419) 251-3878 | Melissa Tuttle, PHD, LP 500 W Market St, Tiffin, OH 44883-2610 Ph: (419) 455-8153 |
Dr. Rachel Hummel-sass, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 200 Saint Francis Ave, Tiffin, OH 44883 Phone: 419-455-6891 | |
Chelsae Siebenaler, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 928 W Market St, Suite A, Tiffin, OH 44883 Phone: 419-447-2927 | |
Dr. Susan Mccafferty, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 451 S Washington St, Tiffin, OH 44883 Phone: 194-619-7702 | |
Abigail Musgrave, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 124 Ohio Ave, Tiffin, OH 44883 Phone: 419-455-9107 | |
Julie Vondrell-wiggins, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 244 S Monroe St, Tiffin, OH 44883 Phone: 419-447-2515 | |
Nicholas Zane Smith, EDS. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 124 Ohio Ave, Tiffin, OH 44883 Phone: 419-455-9107 Fax: 419-448-5221 |