Dr Susan Elaine Hickman, PHD, PSYD is a 
Psychologist - Clinical based in Red Bank, Tennessee. Dr Susan Elaine Hickman is licensed to practice in Tennessee (license number P0000002807) and her current practice location is 
3212 Dayton Blvd Ste B, Red Bank, Tennessee. She can be reached at her office (for appointments etc.) via phone at 
(423) 508-8200.
NPI number for Dr Susan Elaine Hickman is 1174710396 and her current mailing address is 3212 Dayton Blvd Ste B, Red Bank, Tennessee. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174710396.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Dr Susan Elaine Hickman | 
|---|
| Gender | Female | 
|---|
| Speciality | Psychologist - Clinical | 
|---|
| Location | 3212 Dayton Blvd Ste B, Red Bank, Tennessee | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1174710396
 - Provider Enumeration Date: 10/02/2007
 - Last Update Date: 12/31/2019
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Dr Susan Elaine Hickman such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1174710396 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 103TC0700X | Psychologist - Clinical  | P0000002807 (Tennessee) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Susan Elaine Hickman is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
		Dr Susan Elaine Hickman, PHD, PSYD 3212 Dayton Blvd Ste B, Red Bank, TN 37415-5046 Ph: (423) 508-8200 | Dr Susan Elaine Hickman, PHD, PSYD 3212 Dayton Blvd Ste B, Red Bank, TN 37415-5046 Ph: (423) 508-8200 | 
		
		 
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