Provider Demographics
NPI:1164874095
Name:HICKERT, ALYSSA SCHANDLER (MD)
Entity Type:Individual
Prefix:DR
First Name:ALYSSA
Middle Name:SCHANDLER
Last Name:HICKERT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:985582 NEBRASKA MEDICAL CTR
Mailing Address - Street 2:CU DEPARTMENT OF PSYCHIATRY
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68198-5582
Mailing Address - Country:US
Mailing Address - Phone:402-552-6222
Mailing Address - Fax:
Practice Address - Street 1:985582 NEBRASKA MEDICAL CTR
Practice Address - Street 2:CU DEPARTMENT OF PSYCHIATRY
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68198-5582
Practice Address - Country:US
Practice Address - Phone:402-552-6222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-03
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NETEP77452084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry