Individual
CHANDLER HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
920 STANTON L YOUNG BLVD OFC 3038, OKLAHOMA CITY, OK 73104-5036
(918) 237-8484
Mailing address
920 STANTON L YOUNG BLVD # 3038, OKLAHOMA CITY, OK 73104-5036
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
58.030898
OH
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
3962
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265991327
—
OH
Enumeration date
03/18/2019
Last updated
07/28/2025
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