Individual
DR. JEFFREY LOUIS HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
41 W 19TH AVE, EUGENE, OR 97401-3822
(541) 683-5024
Mailing address
41 W 19TH AVE, EUGENE, OR 97401-3822
(541) 683-5024
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
436
OR
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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