Individual
ELIZABETH HICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
1306 S RIDGE RD, GREEN BAY, WI 54304-3234
(906) 630-2837
Mailing address
612 N LOCUST ST, GREEN BAY, WI 54303-4422
(906) 630-2837
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
WI
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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