| Doctor Name: | MRS. LADONNA LYNN HICKMAN |
| NPI Number: | 1962836544 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S. CCC-SLP |
| License Number: | TSLP8546 |
| Business Practice Address: | 2224 E Cedar Ave Ste 103 Flagstaff, AZ - 860041957 |
| Business Phone Number: | 9287791679 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1464, PAGE |
| State: | AZ |
| Postal Code: | 860401464 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 08/30/2013 |
| NPI Last Update Date: | 11/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | TSLP8546 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AZ |
| 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 |