| Doctor Name: | DR. KRISTEN HICK |
| NPI Number: | 1003047382 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSYD |
| License Number: | 20042371A |
| Business Practice Address: | 9933 Lawler Ave Suite 338a Skokie, IL - 600773703 |
| Business Phone Number: | 2199720131 |
| Business Fax Number: | |
| Mailing Address: | 675 W North Ave, Suite 306 MELROSE PARK |
| State: | IL |
| Postal Code: | 601601634 |
| Phone Number: | 8473299210 |
| Fax Number: | 7086819280 |
| NPI Enumeration Date: | 08/04/2009 |
| NPI Last Update Date: | 09/08/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 20042371A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |