Individual
ROGER ELLIOTT HICKS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2200 FORT ROOTS DR # 3D, NORTH LITTLE ROCK, AR 72114
(501) 257-3925
Mailing address
2200 FORT ROOTS DR # 3D, NORTH LITTLE ROCK, AR 72114-1709
(501) 257-3925
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
2715
KS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/30/2010
Last updated
09/25/2019
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