Shanna Hicks, M.S

NPI 1053759597 · on the registry since 2013 · sole proprietor

Practice

Address: 21 Burd St
Nyack, NY 10960
Phone: (845) 353-2350
Fax: (845) 353-2397
Organisation at this address: Lise Petricone Inc. Dba Small Steps
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 25

Registry record

Primary taxonomy: Specialist
174400000X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2013-06-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York