Hicks, Lisa
Hicks, Lisa is an individual health care provider with primary practice located at 1313 Dunbar Avenue , Dunbar WV 25064. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Hicks, Lisa can be contacted via phone (304) 768-3307.Contact Information
Primary practice address
1313 Dunbar Avenue
Dunbar WV 25064
Phone: (304) 768-3307
Fax: (304) 768-3620
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP0994 | West Virginia |
Profile Details
| NPI number | 1518031384 |
|---|---|
| LBN Legal business name | Hicks, Lisa |
| Credentials | SPEECH LANGUAGE PATH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 20th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518031384 | NPPES |
| West Virginia | MEDICAID | 0206427000 |
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