Individual
DR. BRET HICKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 FOOTHILL BLVD, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
7344 S 1550 W, WEST JORDAN, UT 84084-3490
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
284097-2501
UT
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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