# OLDHAM COUNTY ASSESSMENT & PSYCHOLOGICAL SERVICE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407099724
- **Authorized official:** JEFFREY L. HICKS PHD (PRACTICE MANAGER)
- **Authorized official phone:** (502) 243-4280

## Contact information

- **Practice address:** 6402 W HIGHWAY 146, CRESTWOOD, KY 40014-9508
- **Practice address phone:** (502) 243-4280
- **Practice address fax:** (502) 243-4279
- **Mailing address:** 6402 W HIGHWAY 146, CRESTWOOD, KY 40014-9508
- **Mailing address phone:** (502) 243-4280
- **Mailing address fax:** (502) 243-4279

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | 1469 | KY | Yes |
| 2084P0800X | Psychiatry Physician | 39287 | KY | — |

## Other

- **Enumeration date:** 04/16/2009
- **Last updated:** 04/16/2009