Provider Demographics
NPI:1073796033
Name:HICKOX, SHERRIE DANENE (PHD)
Entity Type:Individual
Prefix:MRS
First Name:SHERRIE
Middle Name:DANENE
Last Name:HICKOX
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:341 COUNTY ROAD 2234
Mailing Address - Street 2:
Mailing Address - City:DAINGERFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:75638-5467
Mailing Address - Country:US
Mailing Address - Phone:903-790-1509
Mailing Address - Fax:903-968-4927
Practice Address - Street 1:377 PR 2014
Practice Address - Street 2:
Practice Address - City:GILMER
Practice Address - State:TX
Practice Address - Zip Code:75645
Practice Address - Country:US
Practice Address - Phone:903-968-4641
Practice Address - Fax:903-968-4927
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-13
Last Update Date:2019-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3450103T00000X
TX23450103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX23450OtherLICENSE