Mikal Hicks-Black, D.O

NPI 1427472299 · on the registry since 2014 · sole proprietor

Practice

Address: 4200 Monument Rd
Philadelphia, PA 19131
Phone: (215) 581-3701
Fax: (215) 581-3993
Organisation at this address: Lafayette Anesthesia Group, Llc
Belmont Behavioral Hospital, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 56

Registry record

Primary taxonomy: Psychiatry
2084P0800X
Licence states on file: PA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2020-02-11

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 Pennsylvania