Individual
MR. JOHN EDWARD HICKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW LCSW
Contact information
Practice address
2001 WEST MAIN ST, STE 106C, STAMFORD, CT 06902
(203) 323-1847
(203) 698-3443
Mailing address
2001 WEST MAIN ST, STE 106C, STAMFORD, CT 06902
(203) 323-1847
(203) 698-3443
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
005068
CT
103T00000X
Psychologist
052839
NY
103TP0814X
Psychoanalysis Psychologist
Primary
005068
CT
103TP0814X
Psychoanalysis Psychologist
052839
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P2469164
OXFORD
CT
Enumeration date
09/06/2006
Last updated
01/03/2011
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