Organization
PSYCH ASSESS, LLC
Active
Organization
PSYCH ASSESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN ELAINE HICKMAN PHD, PSYD (CHIEF EXECUTIVE OFFICER)
(423) 800-0483
Entity
Organization
Contact information
Practice address
3097 BROAD ST, CHATTANOOGA, TN 37408-3093
(423) 800-0483
(423) 521-8088
Mailing address
3097 BROAD ST, CHATTANOOGA, TN 37408-3093
(423) 800-0483
(423) 521-8088
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P0000002807
TN
Other
Enumeration date
07/02/2012
Last updated
07/02/2012
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