Larry Hickman
Rehabilitation Counselor
5751 Adeline St
Oakland
, California 94608-2815
Larry Hickman
Rehabilitation Counselor
5751 Adeline St
Oakland
, California 94608-2815
(510) 259-9090
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About
Features
Specialties
- Rehabilitation Counselor
Languages spoken
- English
Location
First Address
- Larry Hickman
- Po Box 5715
- Berkeley, CA
- Zip : 94705-0715
- Fax : (510) 259-9090
- Phone : (510) 467-4250
Second Address
- Larry Hickman
- 5751 Adeline St
- Oakland, CA
- Zip : 94608-2815
- Fax : (510) 259-9090
- Phone : (510) 467-4250
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225C00000X | Rehabilitation Counselor |
National Provider Identifier
| NPI | 1073107132 |
|---|---|
| Provider Name | Larry Hickman |
| First Address | Berkeley, CA 94705-0715 |
| Second Address | Oakland, CA 94608-2815 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/03/2021 |
| Last Update Date | 01/03/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.