Brandy T Hickerson is a School in Idabel, Oklahoma. Brandy T Hickerson practices all healthcare services and medical treatments related to School. The NPI Number for Brandy T Hickerson is 1104955202. The last update date is 2008-02-12.
Brandy T Hickerson's current location address is 17 S Central Ave, Idabel, Oklahoma. You can contact this provider via phone number 5802865184 and fax number 5802865185. The mailing address for Brandy T Hickerson is 17 S Central Ave, Idabel, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brandy T Hickerson |
|---|---|
| Address | 17 S Central Ave, Idabel, Oklahoma |
| Phone Number | 5802865184 |
| Fax Number | 5802865185 |
| Sole Proprietor | N |
| Credentials | MED, PSYCH |
NPI Number Detail
| NPI Number | 1104955202 |
|---|---|
| Provider Enumeration Date | 2007-03-05 |
| Last Updated Date | 2008-02-12 |
Provider Mailing Address Detail
| Address | 17 S Central Ave |
|---|---|
| City | Idabel |
| State | Oklahoma (OK) |
| Post Code | 747454625 |
| Phone Number | 5802865184 |
| Fax Number | 5802865185 |
Provider's Primary Taxonomy Detail
| Speciality | School |
|---|---|
| Taxonomy | 103Ts0200X |
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Definition: A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide |
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What is the unique identification code assigned to Brandy T Hickerson by the Centers for Medicare & Medicaid Services?
The Brandy T Hickerson has been issued the NPI (National Provider Identifier) 1104955202. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Brandy T Hickerson located?
The Brandy T Hickerson is located at 17 S Central Ave, Idabel, OK 747454625.
What is the Brandy T Hickerson's specialty and taxonomy code?
The Brandy T Hickerson's specialty is School, and the corresponding taxonomy code is 103Ts0200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1104955202 to Brandy T Hickerson?
The Centers for Medicare & Medicaid Services assigned the 1104955202 to Brandy T Hickerson on 2007-03-05.
As of what date were the details related to Brandy T Hickerson most recently updated or revised?
The information pertaining to Brandy T Hickerson, including its address, specialty, and other relevant details, was last updated or revised on 2008-02-12.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC