Individual
DR. MITCHELL WAYNE HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, ABPP
Contact information
Practice address
3411 N KENNICOTT AVE STE C, ARLINGTON HEIGHTS, IL 60004-7813
(630) 849-8275
(224) 345-2118
Mailing address
3411 N KENNICOTT AVE STE C, ARLINGTON HEIGHTS, IL 60004-7813
(630) 849-8275
(224) 345-2118
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
180-005185
IL
103T00000X
Psychologist
071-006835
IL
103TC0700X
Clinical Psychologist
Primary
071-006835
IL
Other
Enumeration date
12/14/2005
Last updated
03/08/2011
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