Individual
DR. DALE A. HICKS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
15961 N FLORIDA AVE, STE A, LUTZ, FL 33549-8101
(813) 961-7544
(813) 909-9038
Mailing address
15961 N FLORIDA AVE, STE A, LUTZ, FL 33549-8101
(813) 961-7544
(813) 909-9038
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY0002276
FL
Other
Enumeration date
06/17/2005
Last updated
07/08/2007
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