Organization
GENA HICKS, PHD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GENA HICKS PHD (PSYCHOLOGIST)
(720) 414-1315
Entity
Organization
Contact information
Practice address
1319 W BASELINE RD, STE 101-B, LAFAYETTE, CO 80026-9307
(720) 414-1315
(720) 899-3160
Mailing address
1319 W BASELINE RD, STE 101-B, LAFAYETTE, CO 80026-9307
(720) 414-1315
(720) 899-3160
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0003773
CO
Other
Enumeration date
07/01/2016
Last updated
07/01/2016
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