DR. Dale A. Hicks, PH.D.

NPI #1649275421 in Lutz, Florida

Provider Information

NPI Number: 1649275421
Entity Type: Individual
Name: DR. Dale A. Hicks, PH.D.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Psychologist - Clinical
Credential: PH.D.
Enumeration Date: Jun 17, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 15961 N FLORIDA AVE
Address 2: STE A
City: Lutz
State: Florida
ZIP Code: 33549-8101
Phone: (813) 961-7544

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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