WALLACE KENT HICKS

LOUISVILLE, KY
NPI1356320212
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC1900X Psychologist, Counseling
(Licence: KY  KY 0227)
Enumeration Date2006-01-10
Last Update Date2011-01-06
Business Address
-- WALLACE KENT HICKS Ed.D.
7400 NEW LA GRANGE RD STE 312
LOUISVILLE, KY 40222-4870
Phone number: 502-394-9990
Mailing Address
-- WALLACE KENT HICKS Ed.D.
7400 NEW LA GRANGE RD STE 312
LOUISVILLE, KY 40222-4870
Phone number: 502-394-9990