Stacey Dickman, is a
Psychologist - School based in Saint Marys, Ohio. Stacey Dickman is licensed to practice in * (Not Available) (license number ) and her current practice location is
1301 W High St, Saint Marys, Ohio. She can be reached at her office (for appointments etc.) via phone at
(419) 300-1411.
NPI number for Stacey Dickman is 1720487770 and her current mailing address is 416 E Front St Apt B, New Bremen, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720487770.
Healthcare Provider's Profile
| Full Name | Stacey Dickman |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - School |
|---|
| Location | 1301 W High St, Saint Marys, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1720487770
- Provider Enumeration Date: 08/15/2014
- Last Update Date: 08/15/2014
Medical Identifiers
Medical identifiers for Stacey Dickman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720487770 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TS0200X | Psychologist - School | (* (Not Available)) | 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. Stacey Dickman 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 |
|---|
Stacey Dickman,
416 E Front St Apt B,
New Bremen, OH 45869-1039
Ph: () - | Stacey Dickman,
1301 W High St,
Saint Marys, OH 45885-2077
Ph: (419) 300-1411 |
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