Brandy T Hickerson, MED, PSYCHOLOGIST

NPI #1104955202 in Idabel, Oklahoma

Provider Information

NPI Number: 1104955202
Entity Type: Individual
Name: Brandy T Hickerson, MED, PSYCHOLOGIST
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: MED, PSYCHOLOGIST
Enumeration Date: Mar 5, 2007
Last Updated: Feb 12, 2008

Practice Location

Address: 17 S CENTRAL AVE
City: Idabel
State: Oklahoma
ZIP Code: 74745-4625
Phone: (580) 286-5184

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary
Psychologist - School — School	103TS0200X

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