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Individual

MR. DAVID SHELBY HICKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.A.

Contact information

Practice address
2961 SUMMIT ST, SUITE #2, OAKLAND, CA 94609-3482
(510) 465-3067
Mailing address
2961 SUMMIT ST, SUITE #2, OAKLAND, CA 94609-3482
(510) 465-3067

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU542
CA
231HA2400X
Assistive Technology Practitioner Audiologist
HA1224
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AU542
SPEECH LANGUAGE PATHOLOGY AND AUDIOLOGY BOARD
CA
01
HA1224
DEPARTMENT OF CONSUMER AFFAIRS, HEARING AID DISPENSERS BUREAU
CA
Enumeration date
05/21/2008
Last updated
05/21/2008
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