Andrew Hickman, | |
633 Baxter Ave, Louisville, KY 40204-1157 | |
(502) 309-2408 | |
Not Available |
Full Name | Andrew Hickman |
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Gender | Male |
Speciality | Psychologist - Clinical |
Location | 633 Baxter Ave, Louisville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1346939675 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | 278286 (Kentucky) | Primary |
Entity Name | Mandala House, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659829760 PECOS PAC ID: 4789957135 Enrollment ID: O20170906002088 |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220604000237 |
Mailing Address | Practice Location Address |
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Andrew Hickman, 5800 S Main St, Eminence, KY 40019-1127 Ph: (775) 771-0151 | Andrew Hickman, 633 Baxter Ave, Louisville, KY 40204-1157 Ph: (502) 309-2408 |
Mary K Thompson, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 903 Baxter Ave, Louisville, KY 40204 Phone: 502-458-7366 Fax: 502-458-7362 | |
Dr. Ann M Brian, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1909 Richmond Dr, Louisville, KY 40205 Phone: 502-451-8816 | |
Mr. Jeffery T Mercer, MA Psychologist Medicare: Medicare Enrolled Practice Location: 11003 Perwinkle Ln, Louisville, KY 40291 Phone: 502-618-2620 | |
Dr. Nicholas Bach, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 350 Evergreen Rd Ste 104, Louisville, KY 40243 Phone: 502-203-0838 | |
Dr. Stacy Lyn Cambron, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 7982 New Lagrange Rd, Suite 4, Louisville, KY 40222 Phone: 502-426-6022 Fax: 502-426-9913 | |
Dr. Louis Earl Epstein, PH. D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3333 Bardstown Road, Louisville, KY 40218 Phone: 502-459-7433 Fax: 502-459-5650 | |
Ms. Sandra Ellen Freedman, PSYCH. ASSOCIATE Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9702 Stonestreet Rd, Ste. 110, Louisville, KY 40272 Phone: 502-589-8600 Fax: 502-589-8771 |