Individual
WALLACE KENT HICKS
Active
Individual
WALLACE KENT HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ED.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
KY 0227
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000342982
ANTHEM
KY
01
—
009407
VALUE OPTIONS
KY
01
—
1058075
CIGNA BEHAVIORAL HEALTH
KY
01
—
130222
APS
KY
01
—
179497
COMPSYCH
KY
01
—
4139574
AETNA
KY
01
—
461331000
MAGELLAN
KY
01
—
4716671
CIGNA HEALTHCARE
KY
01
—
6162200
UNITED BEHAVIORAL HEALTH
KY
05
—
89002273
—
KY
01
—
93040
MHN
KY
Enumeration date
01/10/2006
Last updated
01/06/2011
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