Organization
DR. JOAN L KOGELSCHATZ, PHD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOAN L KOGELSCHATZ PHD (OWNER)
(334) 794-0719
Entity
Organization
Contact information
Practice address
921 HONEYSUCKLE RD, DOTHAN, AL 36305-1934
(334) 794-0719
Mailing address
921 HONEYSUCKLE RD, DOTHAN, AL 36305-1934
(334) 794-0719
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW0647C
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000041883
PTAN
—
01
—
103651
TRICARE / VALUE OPTIONS PROVIDER NUMBER
—
01
—
111860
COMPSYCH CORPORATION
—
01
—
112273
UNITED BEHAVIORAL HEALTH
—
01
—
120776000
MAGELLAN
—
01
—
17982
BEHAVIORAL HEALTH SYSTEMS
—
01
—
1886
AMERICAN BEHAVIORAL
—
01
—
3001795
CERIDIAN
—
01
—
4381654
AETNA
—
01
—
51041883
BLLUE CROSS AND BLUE SHIELD PROVIDER NUMBER
—
01
—
511/01620
MHCA
—
01
—
602389KOG
UNITED HEALTHCARE
—
01
—
81870
CIGNA
—
01
—
P00397561
RAILROAD MEDICARE
AL
Enumeration date
10/10/2012
Last updated
10/10/2012
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