Susan Elaine Hickman in Red Bank - Clinical
Susan Elaine Hickman - NPI 1174710396
Susan Elaine Hickman is a Clinical in Red Bank, Tennessee. Susan Elaine Hickman practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan Elaine Hickman is 1174710396. The last update date is 2019-12-31.
Susan Elaine Hickman's current location address is 3212 Dayton Blvd Ste B, Red Bank, Tennessee. You can contact this provider via phone number 4235088200. The mailing address for Susan Elaine Hickman is 3212 Dayton Blvd Ste B, Red Bank, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Elaine Hickman |
|---|---|
| Address | 3212 Dayton Blvd Ste B, Red Bank, Tennessee |
| Phone Number | 4235088200 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PHD, PSYD |
NPI Number Detail
| NPI Number | 1174710396 |
|---|---|
| Provider Enumeration Date | 2007-10-02 |
| Last Updated Date | 2019-12-31 |
Provider Mailing Address Detail
| Address | 3212 Dayton Blvd Ste B |
|---|---|
| City | Red Bank |
| State | Tennessee (TN) |
| Post Code | 374155046 |
| Phone Number | 4235088200 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | P0000002807 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Susan Elaine Hickman?
The Susan Elaine Hickman has been issued the NPI (National Provider Identifier) 1174710396 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Susan Elaine Hickman's facilities are geographically located?
The facilities of Susan Elaine Hickman are physically situated at the following location: 3212 Dayton Blvd Ste B, Red Bank, TN, 374155046.
What is Susan Elaine Hickman's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Susan Elaine Hickman is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did Susan Elaine Hickman receive its 1174710396 assignment from the Centers for Medicare & Medicaid Services?
The Susan Elaine Hickman was assigned its 1174710396 on 2007-10-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Susan Elaine Hickman most recently updated or revised?
The details related to Susan Elaine Hickman, including its address, specialty, and other relevant information, were last updated or revised on 2019-12-31.