Mitchell Wayne Hicks PHD, ABPP

NPI 1093790776 - Counselor - 101YP2500X

NPI Details
NPI 1093790776
Gender Male
Enumeration Date 12/14/2005
Last Updated 03/08/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
3411 N KENNICOTT AVE STE C
ARLINGTON HEIGHTS IL, 60004-7813, US
Phone (630) 849-8275
Fax (224) 345-2118
Business Location
3411 N KENNICOTT AVE STE C
ARLINGTON HEIGHTS IL, 60004-7813, US
Phone (630) 849-8275
Fax (224) 345-2118
Toxanomy
Taxonomy Code 101YP2500X
License State Illinois
License Number 180-005185
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According to our database, Dr. Mitchell Wayne Hicks PHD, ABPP NPI is 1093790776, taxonomy code is 101YP2500X and license number is 180-005185, license state is located at Illinois. Mitchell Wayne Hicks PHD, ABPP physically located at 3411 N Kennicott Ave Ste C, Arlington Heights IL, 60004-7813. NPI Number Mitchell Wayne Hicks PHD, ABPP has the Individual type.

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1093790776 NPI number is provided on an as is basis without warranty of any kind. 1093790776 is maintained by the National Plan & Provider Enumeration System. The contents of Mitchell Wayne Hicks PHD, ABPP are for informational purposes only.