Jeffrey L Hicks (NPI# 1518143858, PAC ID# 3375622012) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1518143858 |
| PAC ID by PECOS | 3375622012 |
| Professional Enrollment ID | I20150609002520 |
| Full Name | Jeffrey L Hicks |
| Organization Legal Name | PPL THERAPEUTIC SERVICES PLLC |
| Address |
7400 Friendship Dr Pewee Valley KY 40056-9190 |
| Phone Number | 5022418821 |
| Gender | M |
| Graduation Year | 2005 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Group Practice PAC ID | 8527323989 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 100 Carmel Manor Dr, Fort Thomas, KY 41075-2300 | 8597815111 | PPL THERAPEUTIC SERVICES PLLC |
| 7400 Friendship Dr, Pewee Valley, KY 40056-9190 | 5022418821 | PPL THERAPEUTIC SERVICES PLLC |
| Organization Legal Name | PPL THERAPEUTIC SERVICES PLLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Trinity D Thomas | Nurse Practitioner | Ppl Therapeutic Services Pllc | 1608 Versailles Rd, Lexington, KY 40504-2402 |
| Mary E Sweeney | Psychologist, Clinical | Ppl Therapeutic Services Pllc | 1705 Herr Ln, Louisville, KY 40222-6545 |
| Andrea Denise Wickersham | Psychologist, Clinical | Ppl Therapeutic Services Pllc | 117 Old Soldiers Ln, Frankfort, KY 40601-6159 |
| Jennifer Yost Vaden | Nurse Practitioner | Ppl Therapeutic Services Pllc | 3802 Turkeyfoot Rd, Elsmere, KY 41018-2838 |
| Heather L Drawe | Psychologist, Clinical | Ppl Therapeutic Services Pllc | 1012 Richwood Way, La Grange, KY 40031-8930 |
| Street Address |
7400 FRIENDSHIP DR |
| City | PEWEE VALLEY |
| State | KY |
| Zip | 40056-9190 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan L Swint | Physical Medicine and Rehabilitation | 7400 Friendship Dr, Pewee Valley, KY 40056-9190 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert W Hodge | Family Medicine | Community Medical Associates Inc | 304 Mount Mercy Dr, Pewee Valley, KY 40056-8020 |
| Shannon D Snider | Physical Therapy | 309 Lagrange Rd, Pewee Valley, KY 40056-9168 |
| City | PEWEE VALLEY |
| Zip Code | 40056 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | PEWEE VALLEY + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Jeffrey L Hicks.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.