DR. ANDREA DENISE WICKERSHAM


Address: 117 Old Soldiers Ln, Frankfort, KY 40601-6159
Phone: 5028757272

DR. ANDREA DENISE WICKERSHAM (NPI# 1942705652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942705652
Entity Type Individual
Full Name DR. ANDREA DENISE WICKERSHAM
Credential PSY.D.
Practice Address 117 Old Soldiers Ln
Frankfort
KY 40601-6159
Mailing Address 1016 Park Place Dr
Richmond
KY 40475-3442
Practice Telephone 5028757272
Mailing Telephone 8595827433
Enumeration Date 2018-03-26
Last Update Date 2018-05-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
129186 KY Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
KY 7100519190 05

Office Location

Street Address 117 OLD SOLDIERS LN
City FRANKFORT
State KY
Zip Code 40601-6159

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255383626 Ggnsc Frankfort LLC Skilled Nursing Facility 117 Old Soldiers Ln, Frankfort, KY 40601-6159 2006-05-16
1508400953 Frankfort Rehab and Care, LLC Skilled Nursing Facility 117 Old Soldiers Ln, Frankfort, KY 40601-6159 2019-10-29
1104323252 Ppl Therapeutic Services Pllc Psychologist 117 Old Soldiers Ln, Frankfort, KY 40601 2018-04-06
1487104485 Frankfort Leasing, LLC Skilled Nursing Facility 117 Old Soldiers Ln, Frankfort, KY 40601-6159 2016-10-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568082410 David Health Solutions Nurse Practitioner 796 Ninevah Rd, Frankfort, KY 40601 2020-04-21
1013549146 Shawna Wallen Pharmacist 300 Brighton Park Blvd, Frankfort, KY 40601 2020-02-06
1629609417 Suzannah Cartinhour Shouse Pharmacist 300 Brighton Park Blvd., Frankfort, KY 40601 2020-01-30
1942848460 Prana Wellness Occupational Therapist 220 Conway Street, Frankfort, KY 40601 2019-12-16
1194288910 Katherine Bates Art Therapist 2225 Lawrenceburg Road, Building A Suite 1, Frankfort, KY 40601 2019-04-09
1912476862 Jennifer Suzann Robinson Health Educator 851 East-west Connector, Frankfort, KY 40601 2018-11-21
1649758541 Parker Reynolds Physical Therapist 111 Westridge Drive, Suite E-f, Frankfort, KY 40601 2018-08-02
1376034397 Bethany Ann Burton Dentist 1006 Leawood Dr Ste 200, Frankfort, KY 40601 2018-05-24
1174046106 Walgreen Co Durable Medical Equipment & Medical Supplies 1303 Us Highway 127 S Ste 106, Frankfort, KY 40601 2017-07-21
1619498136 Linda Carol Langley Physical Therapist 108 Diagnostic Dr., Suite C, Frankfort, KY 40601 2017-07-06
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689287898 Cheryl Reyes Psychologist 20855 S Lagrange Rd Ste 200, Frankfort, IL 60423-2040 2020-08-26
1275880437 Sirrena Jean Piercy Psychologist 357 N Columbia St, Frankfort, IN 46041-1635 2012-08-07
1215293287 Ashley K. Anderson Psychologist 20635 Abbey Woods Ct. N. Suite 303-3, Frankfort, IL 60423 2012-04-04
1760515654 Harvey Stell Martin IIi Psychologist 20635 Abbey Woods Ct N Ste 209, Frankfort, IL 60423-3188 2007-03-13
1528199114 Amy Suszko Brown Psychologist 15 Oak St Ste 2b, Frankfort, IL 60423-1486 2007-03-08
1346385382 Barbara Sue Domingo Henderson Psychologist 308 Wilkinson St, Frankfort, KY 40601-1828 2007-02-20
1144376641 John Steven Scheffler Psychologist 21316 Brown Dr, Frankfort, IL 60423-9454 2007-01-26
1700932845 Kathy Kurfman Psychologist 358 E Clinton St, Frankfort, IN 46041-1907 2007-01-25
1770592990 Kwang H Choi Psychologist 9645 Lincolnway Ln Ste 207a, Frankfort, IL 60423-1908 2006-08-05
1104323252 Ppl Therapeutic Services Pllc Psychologist 117 Old Soldiers Ln, Frankfort, KY 40601 2018-04-06
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Competitor

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City FRANKFORT
Zip Code 40601

Improve Information

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Dataset Information

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.

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