| Clinton M Nowicke, PSYCHOLOGY ASSISTANT | |
|
3840 Ruckriegel Pkwy Ste 105, Louisville, KY 40299-6836 | |
| (502) 261-7227 | |
| Not Available |
| Full Name | Clinton M Nowicke |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 3840 Ruckriegel Pkwy Ste 105, 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 |
|---|---|---|---|
| 1831745223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 277977 (Kentucky) | Primary |
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| Entity Name | Norton Childrens Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457999096 PECOS PAC ID: 3779917596 Enrollment ID: O20200102000758 |
| Mailing Address | Practice Location Address |
|---|---|
| Clinton M Nowicke, PSYCHOLOGY ASSISTANT Po Box 776879, Chicago, IL 60677-6879 Ph: (502) 559-9425 | Clinton M Nowicke, PSYCHOLOGY ASSISTANT 3840 Ruckriegel Pkwy Ste 105, Louisville, KY 40299-6836 Ph: (502) 261-7227 |
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 |