| Prof Douglas Cole, PHD | |
|
1654 E Union St, Greenville, MS 38703-3250 | |
| (662) 335-5274 | |
| (662) 378-3976 |
| Full Name | Prof Douglas Cole |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Cognitive & Behavioral |
| Location | 1654 E Union St, Greenville, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255458444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | 26342 (Mississippi) | Primary |
| Entity Name | Region Vi Community Mental Health Commission |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154433233 PECOS PAC ID: 0749183663 Enrollment ID: O20040129000045 |
| Mailing Address | Practice Location Address |
|---|---|
| Prof Douglas Cole, PHD 1654 E Union St, Greenville, MS 38703-3250 Ph: (662) 335-5274 | Prof Douglas Cole, PHD 1654 E Union St, Greenville, MS 38703-3250 Ph: (662) 335-5274 |
Ms. Nadia Nicole Bethley, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2363 Highway 1 S, Greenville, MS 38701 Phone: 662-334-1253 Fax: 662-741-2700 |
Linda Washington, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 712 Ashburn Rd, Greenville, MS 38703 Phone: 662-822-9050 |