Individual
SYDNEY HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
(800) 891-7575
Mailing address
1662 E 1300 N, LAYTON, UT 84040-8237
(801) 989-0505
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5943219-4102
UT
Other
Enumeration date
02/21/2021
Last updated
02/21/2021
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