Hickerson, Brandy T

Hickerson, Brandy T is an individual health care provider with primary practice located at 17 S Central Ave , Idabel OK 74745-4625. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Hickerson, Brandy T can be contacted via phone (580) 286-5184.

Contact Information

Primary practice address
17 S Central Ave Idabel OK 74745-4625
Phone: (580) 286-5184
Fax: (580) 286-5185
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X Oklahoma
Behavioral Health & Social Service Providers / School 103TS0200X Oklahoma

Profile Details

NPI number 1104955202
LBN Legal business name Hickerson, Brandy T
Credentials MED, PSYCHOLOGIST
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated Feb 12th, 2008 - about 16 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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