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Organization
OLDHAM COUNTY ASSESSMENT & PSYCHOLOGICAL SERVICE
Active
Organization
OLDHAM COUNTY ASSESSMENT & PSYCHOLOGICAL SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY L. HICKS PHD (PRACTICE MANAGER)
(502) 243-4280
Entity
Organization
Contact information
Practice address
6402 W HIGHWAY 146, CRESTWOOD, KY 40014-9508
(502) 243-4280
(502) 243-4279
Mailing address
6402 W HIGHWAY 146, CRESTWOOD, KY 40014-9508
(502) 243-4280
(502) 243-4279
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1469
KY
2084P0800X
Psychiatry Physician
39287
KY
Other
Enumeration date
04/16/2009
Last updated
04/16/2009
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