Dr John Azar-dickens, PHD in Rome, GA - Psychologist

Dr John Azar-dickens, PHD is a Psychologist - Clinical based in Rome, Georgia. Dr John Azar-dickens is licensed to practice in Georgia (license number 2459) and his current practice location is 106 E 5th Ave, Rome, Georgia. He can be reached at his office (for appointments etc.) via phone at (706) 232-6743.

NPI number for Dr John Azar-dickens is 1104984103 and his current mailing address is Po Box 6206, Rome, Georgia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104984103.

Contact Information

	Dr John Azar-dickens, PHD
	106 E 5th Ave, Rome, GA 30161-3128
	(706) 232-6743
	(706) 232-8050

Healthcare Provider's Profile

Full Name	Dr John Azar-dickens
Gender	Male
Speciality	Psychologist - Clinical
Location	106 E 5th Ave, Rome, Georgia
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1104984103
Provider Enumeration Date: 12/04/2006
Last Update Date: 07/09/2007

Medical Identifiers

Medical identifiers for Dr John Azar-dickens such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104984103	NPI	-	NPPES
00895837	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	2459 (Georgia)	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 John Azar-dickens 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 John Azar-dickens, PHD Po Box 6206, Rome, GA 30162-6206 Ph: (706) 232-6743	Dr John Azar-dickens, PHD 106 E 5th Ave, Rome, GA 30161-3128 Ph: (706) 232-6743

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Psychologist in Rome, GA

Dr. Paul Schlachter, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1345 Redmond Road, Rome, GA 30165 Phone: 910-742-9243 Fax: 888-746-1787
Randell Leon Elkins Jr., PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 701 Broad St Ste 350, Rome, GA 30161 Phone: 706-295-2028 Fax: 706-295-2062
Dr. Elizabeth Austin, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 106 E 5th Ave, Rome, GA 30161 Phone: 706-232-8330 Fax: 706-232-8331
Dr. Judith Tutin, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 519 Broad St, Suite 202, Rome, GA 30161 Phone: 706-232-5544 Fax: 888-543-1173
Dr. Alice Eleanor Wiener, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 412 E 1st St, Rome, GA 30161 Phone: 706-235-6990 Fax: 706-235-4985
Jason Randolph Dunn, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 701 Broad St, Ste 350, Rome, GA 30161 Phone: 762-235-3640 Fax: 706-295-2062

Dr John Azar-dickens, PHD - Psychologist in Rome, GA