Lowell Wallace (NPI# 1932610623, PAC ID# 8426316092) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1932610623 |
| PAC ID by PECOS | 8426316092 |
| Professional Enrollment ID | I20180103002800 |
| Full Name | Lowell Wallace |
| Organization Legal Name | IN TOUCH PSYCHOLOGICAL SERVICES LLC |
| Address |
1120 E Main St Suite 24 Philadelphia MS 39350-2300 |
| Phone Number | 6017818677 |
| Gender | M |
| Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 4880970136 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2502 9th St, Meridian, MS 39301-4939 | 6015120927 | INTOUCH HEALTH |
| 1120 E Main St, Suite 24, Philadelphia, MS 39350-2300 | 6017818677 | IN TOUCH PSYCHOLOGICAL SERVICES LLC |
| Organization Legal Name | IN TOUCH PSYCHOLOGICAL SERVICES LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sherita Danielle Wallace | Nurse Practitioner | In Touch Psychological Services LLC | 2502 9th St, Meridian, MS 39301-4939 |
| Erica D Flake | Nurse Practitioner | In Touch Psychological Services LLC | 1120 E Main St, Suite 24, Philadelphia, MS 39350-2300 |
| Veronica Knowles | Clinical Social Worker | In Touch Psychological Services LLC | 1120 E Main St, Suite 24, Philadelphia, MS 39350-2300 |
| Street Address |
1120 E MAIN ST SUITE 24 |
| City | PHILADELPHIA |
| State | MS |
| Zip | 39350-2300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy R Buhrt | Psychologist, Clinical | Centennial Counseling Center, PC | 1120 E Main St, Suite 201, St Charles, IL 60174-2287 |
| Erica D Flake | Nurse Practitioner | In Touch Psychological Services LLC | 1120 E Main St, Suite 24, Philadelphia, MS 39350-2300 |
| Nicole M Mcdonald-martinez | Clinical Social Worker | Centennial Counseling Center, PC | 1120 E Main St, Suite 201, St Charles, IL 60174-2287 |
| Jennifer L Mckay | Psychologist, Clinical | Centennial Counseling Center, PC | 1120 E Main St, Suite 201, St Charles, IL 60174-2287 |
| Steven H Smith | Clinical Social Worker | Centennial Counseling Center, PC | 1120 E Main St, Suite 201, St Charles, IL 60174-2287 |
| Beverlee A Ludema | Psychologist, Clinical | Centennial Counseling Center, PC | 1120 E Main St, Suite 201, St Charles, IL 60174-2287 |
| Veronica Knowles | Clinical Social Worker | In Touch Psychological Services LLC | 1120 E Main St, Suite 24, Philadelphia, MS 39350-2300 |
| Krysta M Winters | Clinical Psychologist | Centennial Counseling Center, PC | 1120 E Main St, St Charles, IL 60174-2287 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer W Phillips | Nurse Practitioner | Neshoba County General Hospital | 1002 Saint Francis Dr, Philadelphia, MS 39350-2030 |
| Tina S Boyles | Nurse Practitioner | Neshoba County General Hospital | 1002 Saint Francis Dr, Philadelphia, MS 39350-2030 |
| Paula S Clearman | Nurse Practitioner | Neshoba County General Hospital | 1001 Holland Ave, Philadelphia, MS 39350-2161 |
| Elizabeth A Stokes | Nurse Practitioner | Neshoba County General Hospital | 1001 Holland Ave, Philadelphia, MS 39350-2161 |
| Donald G Guild | Family Medicine | Neshoba Physician Billing Service | 1001 Holland Ave, Philadelphia, MS 39350-2161 |
| Hailey Elizabeth Thompson | Emergency Medicine | Neshoba County General Hospital | 1001 Holland Ave, Philadelphia, MS 39350-2161 |
| Pamela Stokes | Nurse Practitioner | Neshoba County General Hospital | 1001 Holland Ave, Philadelphia, MS 39350-2161 |
| Dwight S Keady Jr Jr. | Internal Medicine | Neshoba Physician Billing Service | 1001 Holland Ave, Philadelphia, MS 39350-2161 |
| Verena T Valley | Emergency Medicine | Neshoba County General Hospital | 1001 Holland Ave, Philadelphia, MS 39350-2161 |
| Pamela Z Mccool | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Pllc | 1001 Holland Ave, Philadelphia, MS 39350-2161 |
| Find all physicians in zip 39350 | |||
| City | PHILADELPHIA |
| Zip Code | 39350 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | PHILADELPHIA + CLINICAL SOCIAL WORKER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.