Dr Aimee Blackham, PHD | |
3018 Old Minden Rd Ste 1200, Bossier City, LA 71112-2476 | |
(318) 224-7223 | |
(318) 415-1004 |
Full Name | Dr Aimee Blackham |
---|---|
Gender | Female |
Speciality | Psychologist - Counseling |
Location | 3018 Old Minden Rd Ste 1200, Bossier City, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114332038 | NPI | - | NPPES |
567123890 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC1900X | Psychologist - Counseling | 1373 (Louisiana) | Primary |
Entity Name | Thinktrek Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215415229 PECOS PAC ID: 1951754951 Enrollment ID: O20240125003776 |
Mailing Address | Practice Location Address |
---|---|
Dr Aimee Blackham, PHD 3506 Evelyn Cir, Ruston, LA 71270-5323 Ph: (318) 243-0465 | Dr Aimee Blackham, PHD 3018 Old Minden Rd Ste 1200, Bossier City, LA 71112-2476 Ph: (318) 224-7223 |
Sandra Lee Brindamour, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3018 Old Minden Rd, Suite 1111, Bossier City, LA 71112 Phone: 318-741-7485 | |
Dr. George S Park, PH.D., M.P. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2285 Benton Rd Bldg 3, Suite 401, Bossier City, LA 71111 Phone: 318-415-8755 Fax: 318-746-8565 | |
Dr. Arien Mckenzie Ward, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 5401 Shed Rd, Bossier City, LA 71111 Phone: 318-741-5368 | |
Rachel E. Lofton, PLPC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1824 Benton Rd, Bossier City, LA 71111 Phone: 318-584-7133 |