Stacey Ann Nicely, | |
1015 Michigan Ave, Logansport, IN 46947-1526 | |
(574) 722-5151 | |
(574) 722-1791 |
Full Name | Stacey Ann Nicely |
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Gender | Female |
Speciality | Psychologist |
Location | 1015 Michigan Ave, Logansport, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710401310 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
Entity Name | Life Coach Psychology Plc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831495993 PECOS PAC ID: 9133304744 Enrollment ID: O20110426000255 |
Mailing Address | Practice Location Address |
---|---|
Stacey Ann Nicely, 800 Fulton St, Logansport, IN 46947-1577 Ph: () - | Stacey Ann Nicely, 1015 Michigan Ave, Logansport, IN 46947-1526 Ph: (574) 722-5151 |
Dr. Shana Markle, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 800 Fulton St, Logansport, IN 46947 Phone: 574-722-5151 Fax: 574-722-1791 | |
Brett Kuykendall, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1015 Michigan Ave, Logansport, IN 46947 Phone: 574-722-5151 | |
Megan Elizabeth Shaal, PSY.D., HSPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1098 S State Road 25, Logansport, IN 46947 Phone: 574-737-3887 | |
Mary Ann Nusbaum, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4738 W County Road 400 S, Logansport, IN 46947 Phone: 574-339-9277 | |
Dr. James P. Noll, PHD, HSPP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1807 Smith St, Logansport, IN 46947 Phone: 574-732-1414 Fax: 574-732-0504 | |
Dr. Amanda M. Wickett, PSYD, H.S.P.P. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1807 Smith St, Logansport, IN 46947 Phone: 574-732-1414 Fax: 574-732-0504 |