Individual
MR. RANDALL BLAIR HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
22 SOUTH STATE STREET, NEWTOWN, PA 18940-3507
(215) 579-4116
Mailing address
22 SOUTH STATE STREET, NEWTOWN, PA 18940-3507
(215) 579-4116
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS015295
PA
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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