Thomas Michael Hickey M.S.

NPI 1912030644 - Psychologist - 103TS0200X

NPI Details
NPI 1912030644
Gender Male
Enumeration Date 03/13/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
PHOENIX AZ, 85012-1816, US
Phone (602) 764-7540
Business Location
6616 N 89TH AVE
GLENDALE AZ, 85305-2026, US
Phone (623) 872-2817
Taxonomy Code 103TS0200X
License State Arizona
License Number 582199
Remove 1912030644 NPI Number

According to our database, Thomas Michael Hickey M.S. NPI is 1912030644, taxonomy code is 103TS0200X and license number is 582199, license state is located at Arizona. Thomas Michael Hickey M.S. physically located at 4525 N Central Ave, Phoenix AZ, 85012-1816. NPI Number Thomas Michael Hickey M.S. has the Individual type.

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1912030644 NPI number is provided on an as is basis without warranty of any kind. 1912030644 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas Michael Hickey M.S. are for informational purposes only.