| Gena Hicks, Phd, Llc | |
|
1319 W Baseline Rd Ste 101-b Lafayette CO 80026-9307 | |
| (720) 414-1315 | |
| (720) 899-3160 |
| Full Name | Gena Hicks, Phd, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1319 W Baseline Rd, Lafayette, Colorado |
| Authorized Official Name and Position | Gena Hicks (PSYCHOLOGIST) |
| Authorized Official Contact | 7204141315 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gena Hicks, Phd, Llc 1319 W Baseline Rd Ste 101-b Lafayette CO 80026-9307 Ph: (720) 414-1315 | Gena Hicks, Phd, Llc 1319 W Baseline Rd Ste 101-b Lafayette CO 80026-9307 Ph: (720) 414-1315 |
| NPI Number | 1760834717 |
|---|---|
| Provider Enumeration Date | 07/01/2016 |
| Last Update Date | 07/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760834717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 0003773 (Colorado) | Primary |
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