Doctor Name: | PATRICIA ANN HICKS |
NPI Number: | 1255411344 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MCD,CCC/SLP |
License Number: | 2973 |
Business Practice Address: | 301 Pinehaven Street Ext Laurens, SC - 293602671 |
Business Phone Number: | 8649846584 |
Business Fax Number: | 8649846464 |
Mailing Address: | Po Box 49202, GREENWOOD |
State: | SC |
Postal Code: | 296490004 |
Phone Number: | 8642239770 |
Fax Number: | |
NPI Enumeration Date: | 10/16/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2973 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |