Individual
MRS. PATRICIA HICKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
3450 EASTBROOK ST, IOWA CITY, IA 52245-7801
(303) 514-2556
Mailing address
3450 EASTBROOK ST, IOWA CITY, IA 52245-7801
(303) 514-2556
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
11958
CO
Other
Enumeration date
09/15/2016
Last updated
09/15/2016
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