| Doctor Name: | MARANDA HICKS |
| NPI Number: | 1700267135 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A. CCC-SLP |
| License Number: | SP#3599 |
| Business Practice Address: | 214 Hope Landing Rd El Dorado, AR - 717308725 |
| Business Phone Number: | 8708620500 |
| Business Fax Number: | |
| Mailing Address: | 509 N Byrd St, EL DORADO |
| State: | AR |
| Postal Code: | 717305005 |
| Phone Number: | 8709510088 |
| Fax Number: | |
| NPI Enumeration Date: | 06/11/2015 |
| NPI Last Update Date: | 06/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SP#3599 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| 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 |