Beth Hicks, PsyD
Clinic/Center, Adult Mental Health in Prescott, AZ. Individual provider (NPI-1).
NPI number1851768055
StatusActive
Last updated in NPPESAug 24, 2015
Details
- NPI
- 1851768055
- Entity type
- Individual (NPI-1)
- Name
- Beth Hicks
- Credential
- PsyD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 24, 2015
- Last updated
- Aug 24, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | 4651 | AZ | Yes |
Practice location
500 N Us Highway 89Prescott, AZ 86313-5001
Phone 928-455-4860
Mailing address
500 N Us Highway 89Prescott, AZ 86313-5001
Phone 928-455-4860
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