Individual
ABIGAIL JOAN HICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 STONY BROOK DR, LOUISVILLE, KY 40220-4016
(502) 495-6240
Mailing address
2200 STONY BROOK DR, LOUISVILLE, KY 40220-4016
(502) 495-6240
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22005636A
IN
235Z00000X
Speech-Language Pathologist
4108
KY
Other
Enumeration date
05/26/2011
Last updated
01/20/2015
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