Georgia Hicks Valid NPI
Individual provider · Marriage & Family Therapist · Syracuse, NY
- NPI
- 1083107106
- Type
- Individual (Type 1)
- Primary specialty
- Marriage & Family Therapist
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 106H00000X
- License number
- 001357-1 (NY)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2018-06-13
- Last updated
- 2018-06-13
Practice location
414 Hawley Ave # 2
Syracuse, NY 13203-2410
(719) 396-9264