| Doctor Name: | KRISTI HICKMAN |
| NPI Number: | 1578522538 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SPEECH/LANG PATH. |
| License Number: | 100566 |
| Business Practice Address: | 1722 W Front St Tyler, TX - 757026823 |
| Business Phone Number: | 9035975067 |
| Business Fax Number: | 9035976223 |
| Mailing Address: | Po Box 4730, TYLER |
| State: | TX |
| Postal Code: | 757124730 |
| Phone Number: | 9035975067 |
| Fax Number: | 9035976223 |
| NPI Enumeration Date: | 03/20/2006 |
| NPI Last Update Date: | 06/28/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 100566 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| 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 |