Staci Johnson, EDS, NCSP in Logan, WV - Psychologist

Staci Johnson, EDS, NCSP is a Psychologist - School based in Logan, West Virginia. Staci Johnson is licensed to practice in West Virginia (license number U8N131600211) and her current practice location is 66 School St, Monaville, Logan, West Virginia. She can be reached at her office (for appointments etc.) via phone at (304) 792-2089.

NPI number for Staci Johnson is 1306394010 and her current mailing address is Po Box 348, Holden, West Virginia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306394010.

Contact Information

	Staci Johnson, EDS, NCSP
	66 School St, Monaville, Logan, WV 25601-9605
	(304) 792-2089
	Not Available

Healthcare Provider's Profile

Full Name	Staci Johnson
Gender	Female
Speciality	Psychologist - School
Location	66 School St, Logan, West Virginia
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1306394010
Provider Enumeration Date: 09/12/2016
Last Update Date: 09/12/2016

Medical Identifiers

Medical identifiers for Staci Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306394010	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TS0200X	Psychologist - School	U8N131600211 (West Virginia)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Staci Johnson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Staci Johnson, EDS, NCSP Po Box 348, Holden, WV 25625-0348 Ph: () -	Staci Johnson, EDS, NCSP 66 School St, Monaville, Logan, WV 25601-9605 Ph: (304) 792-2089

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Psychologist in Logan, WV

Mrs. Krystal Gail Stollings, MA ED.S Psychologist Medicare: Not Enrolled in Medicare Practice Location: 506 Holly Ave, Logan, WV 25601 Phone: 304-792-2088 Fax: 304-752-7471
Angel Dawn Glick, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 306 Main St, Logan, WV 25601 Phone: 304-752-7707 Fax: 304-752-0772
Mrs. Michelle Robertson Akers, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 306 Main St, Logan, WV 25601 Phone: 304-752-7707 Fax: 304-752-0772
Jenna Marie Rycek, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5499 Old Logan Rd, Logan, WV 25601 Phone: 308-627-4711
Nicole Smith, Psychologist Medicare: Not Enrolled in Medicare Practice Location: Rt. 10 Three Mile Curve, Logan, WV 25601 Phone: 304-792-7130 Fax: 304-792-7146
Mrs. Cassandra Richardson, MA EDS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 66 School St, Logan, WV 25601 Phone: 304-792-2082

Staci Johnson, EDS, NCSP - Psychologist in Logan, WV