Theresa Covington (NPI# 1952470635, PAC ID# 9133021488) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1952470635 |
| PAC ID by PECOS | 9133021488 |
| Professional Enrollment ID | I20131106000810 |
| Full Name | Theresa Covington |
| Address |
2605 Brewerton Rd Mattydale NY 13211-1147 |
| Phone Number | 3159353037 |
| Gender | F |
| Credential | CP |
| Graduation Year | 1993 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2605 Brewerton Rd, Mattydale, NY 13211-1147 | 3159353037 |
| Street Address |
2605 BREWERTON RD |
| City | MATTYDALE |
| State | NY |
| Zip | 13211-1147 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Margaret A Miller | Chiropractic | 5858 E Molloy Rd, Suite 155, Syracuse, NY 13211-2008 | |
| Douglas G Brown | Qualified Audiologist | 5992 E Molloy Rd, Syracuse, NY 13211-2130 | |
| Michael B Lax | Family Medicine | Upstate Family and Preventive Medicine Inc | 6712 Brooklawn Pkwy, Suite 204, Syracuse, NY 13211-2158 |
| Jacque C Millar | Nurse Practitioner | Upstate Family and Preventive Medicine Inc | 6712 Brooklawn Pkwy, Suite 204, Syracuse, NY 13211-2158 |
| City | MATTYDALE |
| Zip Code | 13211 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | MATTYDALE + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Theresa Covington.
| 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.