Individual
ANNA M HICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 N 8TH ST, SUITE PAV 3A, SPRINGFIELD, IL 62701-1041
(217) 545-8000
(217) 545-5834
Mailing address
PO BOX 19658, SPRINGFIELD, IL 62794-9658
(217) 545-8000
(217) 545-5834
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071008487
IL
Other
Enumeration date
01/17/2013
Last updated
08/01/2014
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