DR. SUSAN ELAINE HICKMAN (NPI# 1174710396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174710396 |
| Entity Type | Individual |
| Full Name | DR. SUSAN ELAINE HICKMAN |
| Credential | PHD, PSYD |
| Practice Address |
3212 Dayton Blvd Ste B Red Bank TN 37415-5046 |
| Practice Telephone | 4235088200 |
| Mailing Telephone | 4235088200 |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2019-12-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
P0000002807 | TN | Behavioral Health & Social Service Providers |
| Street Address |
3212 DAYTON BLVD STE B |
| City | RED BANK |
| State | TN |
| Zip Code | 37415-5046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940472 | Christina Goosey | Physical Therapist | 2158 Northgate Park, #200, Chattanooga, TN 37415 | 2019-03-12 |
| 1073046561 | Cynthia Groves | Student in an Organized Health Care Education/Training Program | 706 Tiger Lily Trl, Chattanooga, TN 37415 | 2017-04-11 |
| 1811358781 | Bisscom Consulting and Services | Social Worker | 2021 Ashmore Ave, Chattanooga, TN 37415 | 2016-03-18 |
| 1700241783 | Megan D. Vonwerssowetz | Nurse Practitioner | 3905 Hixson Pike, Suite 103, Chattanooga, TN 37415 | 2015-12-17 |
| 1457748501 | Jon Caleb Hildebrand | Ophthalmology | 2158 Northgate Park Ln Ste 302, Chattanooga, TN 37415 | 2015-04-15 |
| 1699044487 | Constance Chamberlain Wise | Dentist | 4300 Dayton Blvd, Chattanooga, TN 37415 | 2011-12-22 |
| 1033403969 | Stephen Denney Muller | Counselor | 2120 Northgate Pk Ln Ste 201, New Beginnings Counseling Center, Chattanooga, TN 37415 | 2011-06-08 |
| 1619115938 | Connie Elizabeth Fesmire | Registered Nurse | 3119 Reflecting Drive, Chattanooga, TN 37415 | 2009-01-23 |
| 1205972395 | Ella Grace Ford | Social Worker | 2120 Northgate Park Ln Ste 201, Chattanooga, TN 37415 | 2007-01-29 |
| 1639224249 | Chattanooga Hamilton County Hospital Authority | General Acute Care Hospital | 632 Morrison Spring Road, Chattanooga, TN 37415 | 2007-01-24 |
| Find all providers in zip 37415 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316472293 | Dr Dibenedetto Psychology Practice | Psychologist | 87 Maple Ave, Red Bank, NJ 07701-1619 | 2017-04-27 |
| 1598210254 | Lawrence Stein, Phd., Pa | Psychologist | 316 Broad St Ste 1, Red Bank, NJ 07701-2155 | 2016-08-23 |
| 1720397912 | Gina Marie Diarchangel | Psychologist | 157 Broad St Ste 301, Red Bank, NJ 07701-2013 | 2010-10-05 |
| 1801913181 | Tamara Latawiec | Psychologist | 43 W Front St Ste 18, Red Bank, NJ 07701-1600 | 2007-03-23 |
| 1205850468 | Alan Bryan Zwerdling | Psychologist | 170 State Route 35, Red Bank, NJ 07701-5929 | 2006-07-27 |
| 1659814853 | Marnie Fegan, Psy.d., P.C. | Psychologist | 272 Broad St, 2nd Floor, Red Bank, NJ 07701-2044 | 2016-11-21 |
| 1528425527 | Belay Psychological Services, LLC | Psychologist | 210 W Front St Ste 208, Red Bank, NJ 07701-1171 | 2016-01-21 |
| 1487094959 | Nicole Rebecca Amoyal-pensak | Psychologist | 210 Broad St, Red Bank, NJ 07701-2060 | 2013-06-28 |
| 1275776072 | Bari L Marshall-heslin | Psychologist | 41 Reckless Pl, Red Bank, NJ 07701-1703 | 2009-04-09 |
| 1639319320 | Patricia Louise Steen | Psychologist | 41 Reckless Pl, Red Bank, NJ 07701-1703 | 2009-02-20 |
| Find all providers in RED BANK | ||||
Please comment or provide details below to improve the information on DR. SUSAN ELAINE HICKMAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.