Mary Rose Hicks is a Clinical in Greenfield, Wisconsin. Mary Rose Hicks practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Rose Hicks is 1144434333. The last update date is 2007-07-08.
Mary Rose Hicks's current location address is 6215 S 39th St, Greenfield, Wisconsin. You can contact this provider via phone number 4147374655. The mailing address for Mary Rose Hicks is 6215 S 39th St, Greenfield, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Rose Hicks |
|---|---|
| Address | 6215 S 39th St, Greenfield, Wisconsin |
| Phone Number | 4147374655 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1144434333 |
|---|---|
| Provider Enumeration Date | 2007-05-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6215 S 39th St |
|---|---|
| City | Greenfield |
| State | Wisconsin (WI) |
| Post Code | 532214521 |
| Phone Number | 4147374655 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 1430-057 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 40668 | WI | NATIONAL REGISTER |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mary Rose Hicks by the Centers for Medicare & Medicaid Services?
The Mary Rose Hicks has been issued the NPI (National Provider Identifier) 1144434333 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Mary Rose Hicks located?
The Mary Rose Hicks is located at 6215 S 39Th St, Greenfield, WI 532214521.
What is Mary Rose Hicks's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mary Rose Hicks's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
When did the Mary Rose Hicks receive its 1144434333?
The Mary Rose Hicks was issued its 1144434333 on 2007-05-09, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Mary Rose Hicks, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mary Rose Hicks, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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