Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SUSAN ELAINE HICKMAN, PHD, PSYD
Active Sole ProprietorDR. SUSAN ELAINE HICKMAN, PHD, PSYD is a Clinical Psychologist healthcare provider located in RED BANK, Tennessee. NPI 1174710396 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · RED BANK, TN
Registration Details
- NPI Number
- 1174710396
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 2, 2007 (18.854768543217 yrs)
- Last Updated
- Dec 31, 2019
- License
-
P0000002807 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3212 DAYTON BLVD STE BRED BANK, TN, 374155046Browse TN providers · Browse ZIP 37415
- Phone
- 4235088200
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.