Individual
DR. SUSAN ELAINE HICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, PSYD
Contact information
Practice address
3212 DAYTON BLVD STE B, RED BANK, TN 37415-5046
(423) 508-8200
Mailing address
3212 DAYTON BLVD STE B, RED BANK, TN 37415-5046
(423) 508-8200
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P0000002807
TN
Other
Enumeration date
10/02/2007
Last updated
12/31/2019
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