Individual
DR. RICHARD ERNEST HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4201 LAKE BOONE TRL, RALEIGH, NC 27607-7512
(919) 961-1095
Mailing address
117 W PARK DR, RALEIGH, NC 27605-1737
(919) 961-1095
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
LP-3411
NC
103TA0400X
Addiction (Substance Use Disorder) Psychologist
LP-3411
NC
103TA0700X
Adult Development & Aging Psychologist
LP-3411
NC
103TB0200X
Cognitive & Behavioral Psychologist
LP-3411
NC
103TC0700X
Clinical Psychologist
Primary
LP-3411
NC
103TC2200X
Clinical Child & Adolescent Psychologist
LP-3411
NC
103TF0000X
Family Psychologist
LP-3411
NC
103TH0004X
Health Psychologist
3411
NC
103TH0100X
Health Service Psychologist
3411
NC
103TP2701X
Group Psychotherapy Psychologist
LP-3411
NC
Other
Enumeration date
08/20/2006
Last updated
10/04/2013
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