Individual
ASHLEE HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC/SLP
Contact information
Practice address
1005 MIDWESTERN PKWY, WICHITA FALLS, TX 76302-2211
(940) 322-0771
(940) 766-4942
Mailing address
1005 MIDWESTERN PKWY, WICHITA FALLS, TX 76302-2211
(940) 322-0771
(940) 766-4942
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
103071
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00T22Y
BCBS OF TEXAS #
TX
Enumeration date
11/01/2006
Last updated
07/09/2007
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