Individual
MRS. STEPHANIE HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
606 N RAZORBACK ROAD, FAYETTEVILLE, AR 72701-3439
(479) 575-4509
Mailing address
606 N RAZORBACK RD, FAYETTEVILLE, AR 72703-9032
(479) 575-4509
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP986
AR
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
$$$$$$$$$
—
AR
05
—
1063898526
—
AR
Enumeration date
08/07/2015
Last updated
03/02/2023
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