Individual
DR. ROBIN L HICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
307 E SEVIER ST, BENTON, AR 72015-3934
(501) 315-4224
(501) 778-0450
Mailing address
307 E SEVIER ST, BENTON, AR 72015-3934
(501) 315-4224
(501) 778-0450
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
G6424
AR
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
C-6423
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114908001
—
AR
05
—
116381726
—
AR
Enumeration date
01/05/2006
Last updated
03/09/2020
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