Joseph Dickhaus, LPP | |
664 Slate Ave, Owingsville, KY 40360 | |
(606) 674-6690 | |
(606) 674-6903 |
Full Name | Joseph Dickhaus |
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Gender | Male |
Speciality | Psychologist - Clinical |
Location | 664 Slate Ave, Owingsville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346471018 | NPI | - | NPPES |
30610026 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 0945 (Kentucky) | Secondary |
103TC0700X | Psychologist - Clinical | 166758 (Kentucky) | Primary |
Entity Name | Pathways Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982615043 PECOS PAC ID: 1254239171 Enrollment ID: O20031230000043 |
Mailing Address | Practice Location Address |
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Joseph Dickhaus, LPP Po Box 790, Ashland, KY 41105-0790 Ph: (606) 329-8588 | Joseph Dickhaus, LPP 664 Slate Ave, Owingsville, KY 40360 Ph: (606) 674-6690 |
James Smith, BPS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 664 Slate Ave, Owingsville, KY 40360 Phone: 606-674-6690 Fax: 606-674-6903 | |
Julia Dahmane, LPA TEMP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 664 Slate Ave, Owingsville, KY 40360 Phone: 606-674-6690 Fax: 606-674-6903 | |
Alicia Copestick Henderson, BPS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 664 Slate Ave, Owingsville, KY 40360 Phone: 606-674-6690 Fax: 606-674-6903 | |
Natasha Harvey-allen, LPA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 664 Slate Ave, Owingsville, KY 40360 Phone: 606-674-6690 Fax: 606-674-6903 | |
Melinda Walker, PA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 664 Slate Avenue, Owingsville, KY 40360 Phone: 606-674-6690 Fax: 606-674-6903 |