Hicks, Mitchell Wayne

Hicks, Mitchell Wayne is an sole proprietor health care provider with primary practice located at 3411 N Kennicott Ave Ste C , Arlington Heights IL 60004-7813. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Hicks, Mitchell Wayne can be contacted via phone (630) 849-8275.

Contact Information

Primary practice address
3411 N Kennicott Ave Ste C Arlington Heights IL 60004-7813
Phone: (630) 849-8275
Fax: (224) 345-2118
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180-005185 Illinois
Behavioral Health & Social Service Providers / Psychologist 103T00000X 071-006835 Illinois
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071-006835 Illinois

Profile Details

NPI number 1093790776
LBN Legal business name Hicks, Mitchell Wayne
Credentials PHD, ABPP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 14th, 2005
Last updated Mar 8th, 2011 - about 15 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.

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