Hicks, Mitchell Wayne
Hicks, Mitchell Wayne is an sole proprietor health care provider with primary practice located at 3411 N Kennicott Ave Ste C , Arlington Heights IL 60004-7813. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Hicks, Mitchell Wayne can be contacted via phone (630) 849-8275.Contact Information
Primary practice address
3411 N Kennicott Ave Ste C
Arlington Heights IL 60004-7813
Phone: (630) 849-8275
Fax: (224) 345-2118
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 180-005185 | Illinois |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 071-006835 | Illinois |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071-006835 | Illinois |
Profile Details
| NPI number | 1093790776 |
|---|---|
| LBN Legal business name | Hicks, Mitchell Wayne |
| Credentials | PHD, ABPP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 14th, 2005 |
| Last updated | Mar 8th, 2011 - about 13 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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