Search › California › 101YA0400X
Taylor Hicks, CADC II, CRPS
NPI 1942925441 · on the registry since 2022
Practice
- Address
- 3900 Rocklin Rd Ste 100
Rocklin, CA 95677 - Phone
- (916) 234-0097
- Organisation at this address
- Azevedo Inc Dba The Pathway Program
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 405300000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-10-06
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 California