Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 071007913 | IL |
N | 103TC0700X | Clinical Psychologist | 071007913 | IL |
N | 103G00000X | Clinical Psychologist | 20042371A | IN |
N | 103TC0700X | Clinical Psychologist | 20042371A | IN |
Y | 103G00000X | Clinical Psychologist | PSY3606 | CO |
Y | 103TC0700X | Clinical Psychologist | PSY3606 | CO |
NPI | 1003047382 |
---|---|
Provider Name | Dr. Kristen Hick |
First Address | Denver, CO 80222-4307 |
Second Address | Denver, CO 80222 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2009 |
Last Update Date | 03/08/2018 |