Laura Hickok
Clinical Psychologist
4405 E West Hwy Suite 312
Bethesda
, Maryland 20814-4522
Laura Hickok
Clinical Psychologist
4405 E West Hwy Suite 312
Bethesda
, Maryland 20814-4522
(301) 654-2322
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Laura Hickok
- 4405 E West Hwy Suite 312
- Bethesda, MD
- Zip : 20814-4522
- Phone : (301) 654-2322
Second Address
- Laura Hickok
- 4405 E West Hwy Suite 312
- Bethesda, MD
- Zip : 20814-4522
- Phone : (301) 654-2322
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | 03449 | MD |
| Y | 103TC0700X | Clinical Psychologist | 03449 | MD |
National Provider Identifier
| NPI | 1013107721 |
|---|---|
| Provider Name | Laura Hickok |
| First Address | Bethesda, MD 20814-4522 |
| Second Address | Bethesda, MD 20814-4522 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/07/2007 |
| Last Update Date | 11/06/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1568629715 | GROUP NPI (01) |
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.