Daniel E Hendricks, PHD, ADC is a
Psychologist based in Augusta, Georgia. Daniel E Hendricks is licensed to practice in Georgia (license number 973) and his current practice location is
1287 Marks Church Rd, Suite F, Augusta, Georgia. He can be reached at his office (for appointments etc.) via phone at
(706) 481-8181.
NPI number for Daniel E Hendricks is 1851332621 and his current mailing address is 3535 Interlachen Dr, Augusta, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1851332621.
Healthcare Provider's Profile
| Full Name | Daniel E Hendricks |
|---|
| Gender | Male |
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| Speciality | Psychologist |
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| Location | 1287 Marks Church Rd, Augusta, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1851332621
- Provider Enumeration Date: 06/10/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Daniel E Hendricks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851332621 | NPI | - | NPPES |
| 973 | Other | GA | PSYCHOLOGY LICENSE |
| 00472821B | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 203 (Georgia) | Primary |
| 103T00000X | Psychologist | 973 (Georgia) | 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. Daniel E Hendricks 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 |
|---|
Daniel E Hendricks, PHD, ADC
3535 Interlachen Dr,
Augusta, GA 30907-9528
Ph: (706) 481-8181 | Daniel E Hendricks, PHD, ADC
1287 Marks Church Rd, Suite F,
Augusta, GA 30909-6330
Ph: (706) 481-8181 |
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