Individual
SUMMER LYNNE HICKAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
124 E SHORT AVE, SPOKANE, WA 99202-1555
(509) 838-4651
Mailing address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651
(509) 363-2762
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
MC60299571
WA
103T00000X
Psychologist
Primary
PY60901089
WA
Other
Enumeration date
11/12/2018
Last updated
03/24/2021
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