Doctor Name: | CYNTHIA HICKS |
NPI Number: | 1326465253 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 3748 |
Business Practice Address: | 141 Twin Lake Rd Gaffney, SC - 293412526 |
Business Phone Number: | 8642062255 |
Business Fax Number: | 8649023581 |
Mailing Address: | Po Box 460, GAFFNEY |
State: | SC |
Postal Code: | 293420460 |
Phone Number: | 8642062201 |
Fax Number: | 8649023541 |
NPI Enumeration Date: | 03/28/2014 |
NPI Last Update Date: | 04/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3748 |
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 |