Individual
DR. KATHLEEN ANNE HICKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
445 W JACKSON AVE, NAPERVILLE, IL 60540-5256
(630) 428-3908
Mailing address
454 WILLOW RD, NEW LENOX, IL 60451-1049
(312) 501-0305
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
71006796
IL
Other
Enumeration date
04/26/2007
Last updated
04/13/2010
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