Nichole M Dunwiddie (NPI# 1437667904, PAC ID# 6800150939) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1437667904 |
| PAC ID by PECOS | 6800150939 |
| Professional Enrollment ID | I20180426000107 |
| Full Name | Nichole M Dunwiddie |
| Organization Legal Name | OLD TOWN PSYCHOLOGICAL SERVICES |
| Address |
512 S Union St Traverse City MI 49684-3247 |
| Phone Number | 2319416550 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 2466600101 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 512 S Union St, Traverse City, MI 49684-3247 | 2319416550 | OLD TOWN PSYCHOLOGICAL SERVICES |
| Organization Legal Name | OLD TOWN PSYCHOLOGICAL SERVICES |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Coonan | Clinical Social Worker | Old Town Psychological Services | 512 S Union St, Traverse City, MI 49684-3247 |
| Linda D Theis | Psychologist, Clinical | Old Town Psychological Services | 512 S Union St, Traverse City, MI 49684-3247 |
| Theresa Stack | Clinical Social Worker | Old Town Psychological Services | 512 S Union St, Traverse City, MI 49684-3247 |
| Michael P Hayes | Psychologist, Clinical | Old Town Psychological Services | 512 S Union St, Traverse City, MI 49684-3247 |
| Pamela M Herringshaw | Psychologist, Clinical | Old Town Psychological Services | 512 S Union St, Traverse City, MI 49684-3247 |
| Street Address |
512 S UNION ST |
| City | TRAVERSE CITY |
| State | MI |
| Zip | 49684-3247 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Coonan | Clinical Social Worker | Old Town Psychological Services | 512 S Union St, Traverse City, MI 49684-3247 |
| Linda D Theis | Psychologist, Clinical | Old Town Psychological Services | 512 S Union St, Traverse City, MI 49684-3247 |
| Theresa Stack | Clinical Social Worker | Old Town Psychological Services | 512 S Union St, Traverse City, MI 49684-3247 |
| Michael P Hayes | Psychologist, Clinical | Old Town Psychological Services | 512 S Union St, Traverse City, MI 49684-3247 |
| Pamela M Herringshaw | Psychologist, Clinical | Old Town Psychological Services | 512 S Union St, Traverse City, MI 49684-3247 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John F Ulrich | Psychologist, Clinical | 102 W Front St, Suite 402, Traverse City, MI 49684-1201 | |
| Melanie S Villanueva | Clinical Social Worker | 134 W State St, Suite 202, Traverse City, MI 49684-1491 | |
| Hillary R Toennies | Qualified Audiologist | Family Hearing LLC | 315 N Division St, Suite 120, Traverse City, MI 49684-2009 |
| Paul Andrew Hanrahan | Qualified Audiologist | Family Hearing LLC | 315 N Division St, Suite 120, Traverse City, MI 49684-2009 |
| Barbara Jones Smith | Clinical Psychologist | Barbara Jones Smith Phd PC | 821 S Elmwood C, Traverse City, MI 49684-2191 |
| Julie Slough Runstrom | Optometry | Nichols Optical Inc | 336 W Front St, Traverse Vision, Traverse City, MI 49684-2204 |
| Christopher James Kowalski | Optometry | Nichols Optical Inc | 336 W Front St, Traverse Vision, Traverse City, MI 49684-2204 |
| David Cannon | Optometry | Nichols Optical Inc | 336 W Front St, Traverse Vision, Traverse City, MI 49684-2204 |
| Karisa Ritter | Optometry | Nichols Optical Inc | 336 W Front St, Traverse Vision, Traverse City, MI 49684-2204 |
| Elizabeth J Nichols | Optometry | Nichols Optical Inc | 336 W Front St, Traverse Vision, Traverse City, MI 49684-2204 |
| Find all physicians in zip 49684 | |||
| City | TRAVERSE CITY |
| Zip Code | 49684 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | TRAVERSE CITY + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Nichole M Dunwiddie.
| 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.