Devon M Hicks in San Bernardino - Addiction (substance Use Disorder)
Devon M Hicks - NPI 1700097516
Devon M Hicks is a Addiction (substance Use Disorder) in San Bernardino, California. Devon M Hicks practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Devon M Hicks is 1700097516. The last update date is 2010-06-29.
Devon M Hicks's current location address is 423 Mackay Dr, San Bernardino, California. You can contact this provider via phone number 9093831073 and fax number 9093831456. The mailing address for Devon M Hicks is 423 Mackay Dr, San Bernardino, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Devon M Hicks |
|---|---|
| Address | 423 Mackay Dr, San Bernardino, California |
| Phone Number | 9093831073 |
| Fax Number | 9093831456 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1700097516 |
|---|---|
| Provider Enumeration Date | 2007-05-24 |
| Last Updated Date | 2010-06-29 |
Provider Mailing Address Detail
| Address | 423 Mackay Dr |
|---|---|
| City | San Bernardino |
| State | California (CA) |
| Post Code | 924083230 |
| Phone Number | 9093831073 |
| Fax Number | 9093831456 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | RW0767 |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5155 | CA | SIMON STAFF NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Devon M Hicks by the Centers for Medicare & Medicaid Services?
The Devon M Hicks has been assigned the NPI (National Provider Identifier) 1700097516 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Devon M Hicks located?
The Devon M Hicks is located at 423 Mackay Dr, San Bernardino, CA 924083230.
What is Devon M Hicks's area of expertise and its corresponding taxonomy classification?
The Devon M Hicks's field of specialization is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their areas of practice.
On what date did the Devon M Hicks receive the assignment of its 1700097516 from the Centers for Medicare & Medicaid Services?
The Devon M Hicks was issued its 1700097516 by the Centers for Medicare & Medicaid Services on 2007-05-24.
When was the Devon M Hicks's information last updated?
The Devon M Hicks's information was last updated on 2010-06-29.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC