Individual
ANDREW HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
633 BAXTER AVE, LOUISVILLE, KY 40204-1157
(502) 309-2408
Mailing address
5800 S MAIN ST, EMINENCE, KY 40019-1127
(775) 771-0151
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
278286
KY
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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