| Joseph Dickhaus, LPP | |
|
664 Slate Ave, Owingsville, KY 40360 | |
| (606) 674-6690 | |
| (606) 674-6903 |
| Full Name | Joseph Dickhaus |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 664 Slate Ave, Owingsville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346471018 | NPI | - | NPPES |
| 30610026 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 0945 (Kentucky) | Secondary |
| 103TC0700X | Psychologist - Clinical | 166758 (Kentucky) | Primary |
| Entity Name | Pathways Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982615043 PECOS PAC ID: 1254239171 Enrollment ID: O20031230000043 |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Dickhaus, LPP Po Box 790, Ashland, KY 41105-0790 Ph: (606) 329-8588 | Joseph Dickhaus, LPP 664 Slate Ave, Owingsville, KY 40360 Ph: (606) 674-6690 |
Charity Robbins, LPP Psychologist Medicare: Medicare Enrolled Practice Location: 664 Slate Ave, Owingsville, KY 40360 Phone: 866-233-1955 Fax: 606-768-2134 | |
James Smith, BPS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 664 Slate Ave, Owingsville, KY 40360 Phone: 606-674-6690 Fax: 606-674-6903 | |
Julia Dahmane, LPA TEMP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 664 Slate Ave, Owingsville, KY 40360 Phone: 606-674-6690 Fax: 606-674-6903 | |
Alicia Copestick Henderson, BPS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 664 Slate Ave, Owingsville, KY 40360 Phone: 606-674-6690 Fax: 606-674-6903 | |
Natasha Harvey-allen, LPA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 664 Slate Ave, Owingsville, KY 40360 Phone: 606-674-6690 Fax: 606-674-6903 | |
Melinda Walker, PA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 664 Slate Avenue, Owingsville, KY 40360 Phone: 606-674-6690 Fax: 606-674-6903 |