| Michael Shaun Perciful, | |
|
3095 Kettering Blvd, Moraine, OH 45439-1983 | |
| (937) 913-1902 | |
| Not Available |
| Full Name | Michael Shaun Perciful |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 3095 Kettering Blvd, Moraine, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083958383 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | P.07606 (Ohio) | Primary |
| Entity Name | Psychological & Behavioral Consultants Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811915713 PECOS PAC ID: 0446243760 Enrollment ID: O20040405000363 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Shaun Perciful, 8908 Pembrooke St, Maineville, OH 45039-9291 Ph: () - | Michael Shaun Perciful, 3095 Kettering Blvd, Moraine, OH 45439-1983 Ph: (937) 913-1902 |
David Alan Oblinger Ii, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300 | |
Jay Mccaffrey, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300 | |
Robert Nathan Ilagan, GRADUATE STUDENT Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300 | |
Justin Marie Howard, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300 | |
Albine Bizimana, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-534-1572 | |
Ms. Lien-lien Lilly Wu, B.A Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300 |