Individual
JOHN WILLIAM HICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3150 E 41ST ST, STE 107, TULSA, OK 74105-3717
(918) 742-1136
(918) 742-1183
Mailing address
3150 E 41ST ST, STE 107, TULSA, OK 74105-3717
(918) 742-1136
(918) 742-1183
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
193
OK
Other
Enumeration date
06/08/2006
Last updated
08/05/2010
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