Susan Elaine Hickman PHD, PSYD

NPI 1174710396 - Psychologist - 103T00000X

NPI Details
NPI 1174710396
Gender Female
Enumeration Date 10/02/2007
Last Updated 09/26/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
3023 BROAD ST
CHATTANOOGA TN, 37408-3075, US
Phone (423) 508-8200
Fax (423) 752-5299
Business Location
3023 BROAD ST
CHATTANOOGA TN, 37408-3075, US
Phone (423) 508-8200
Fax (423) 752-5299
Toxanomy
Taxonomy Code 103T00000X
License State Tennessee
License Number 2807
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According to our database, Dr. Susan Elaine Hickman PHD, PSYD NPI is 1174710396, taxonomy code is 103T00000X and license number is 2807, license state is located at Tennessee. Susan Elaine Hickman PHD, PSYD physically located at 3023 Broad St, Chattanooga TN, 37408-3075. NPI Number Susan Elaine Hickman PHD, PSYD has the Individual type.

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1174710396 NPI number is provided on an as is basis without warranty of any kind. 1174710396 is maintained by the National Plan & Provider Enumeration System. The contents of Susan Elaine Hickman PHD, PSYD are for informational purposes only.