| William Hobart Davies, PHD | |
|
3900 W Brown Deer Rd, Suite 200, Brown Deer, WI 53209 | |
| (414) 540-2170 | |
| (414) 540-2171 |
| Full Name | William Hobart Davies |
|---|---|
| Gender | Male |
| Speciality | Psychologist |
| Location | 3900 W Brown Deer Rd, Brown Deer, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225242357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1794057 (Wisconsin) | Primary |
| Entity Name | Lighthouse Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912216219 PECOS PAC ID: 4385826502 Enrollment ID: O20110309000822 |
| Mailing Address | Practice Location Address |
|---|---|
| William Hobart Davies, PHD 3900 W Brown Deer Rd, Suite 200, Brown Deer, WI 53209 Ph: (414) 540-2170 | William Hobart Davies, PHD 3900 W Brown Deer Rd, Suite 200, Brown Deer, WI 53209 Ph: (414) 540-2170 |
Dr. Amanda Marie Heins, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4555 W Schroeder Dr, Brown Deer, WI 53223 Phone: 414-355-9000 Fax: 414-355-9665 | |
Cheryl A Werner, LPC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3900 W Brown Deer Rd, Suite 200, Brown Deer, WI 53209 Phone: 414-540-2170 Fax: 414-540-2171 | |
Angela M Orvis, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4555 W Schroeder Dr, Brown Deer, WI 53223 Phone: 800-767-4411 Fax: 414-797-0804 | |
Marniece Johnson, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3900 W Brown Deer Rd, Suite 200, Brown Deer, WI 53209 Phone: 414-540-2170 Fax: 414-540-2171 | |
Amy Kuechler, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4555 W Schroeder Dr, Brown Deer, WI 53223 Phone: 414-355-9000 | |
Mark La Fave, Psychologist Medicare: May Accept Medicare Assignments Practice Location: 3900 W Brown Deer Rd Ste 200, Brown Deer, WI 53209 Phone: 414-540-2170 |