Provider Demographics
NPI:1437356219
Name:HICKS, AIMEE JANE (CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:AIMEE
Middle Name:JANE
Last Name:HICKS
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:AIMEE
Other - Middle Name:JANE
Other - Last Name:FALDYN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:24202 PINE CANYON FLS
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-5318
Mailing Address - Country:US
Mailing Address - Phone:713-591-2986
Mailing Address - Fax:713-583-8428
Practice Address - Street 1:25420 KUYKENDAHL RD STE E600
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-3405
Practice Address - Country:US
Practice Address - Phone:713-591-2986
Practice Address - Fax:713-583-8428
Is Sole Proprietor?:No
Enumeration Date:2007-06-27
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX100694235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4291585Medicaid