Individual
DANIELLE MEGHAN HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4825 TROUSDALE DR STE 216, NASHVILLE, TN 37220-1307
(615) 431-9776
Mailing address
4731 TROUSDALE DR, NASHVILLE, TN 37220-1331
(615) 431-9776
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
235Z00000X
Speech-Language Pathologist
Primary
7224
TN
235Z00000X
Speech-Language Pathologist
SP01965
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7224
TN STATE PROVISIONAL LICENSE
TN
01
—
RBT-18-55506
BACB REGISTRATION NUMBER
—
Enumeration date
02/26/2019
Last updated
04/07/2025
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