Provider Demographics
NPI:1457665879
Name:SEYMOUR-HICKS, ROBIN L
Entity Type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:L
Last Name:SEYMOUR-HICKS
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:ROBIN
Other - Middle Name:L
Other - Last Name:SEYMOUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:210 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LONDON
Mailing Address - State:OH
Mailing Address - Zip Code:43140-1115
Mailing Address - Country:US
Mailing Address - Phone:740-852-6256
Mailing Address - Fax:740-852-6395
Practice Address - Street 1:210 N MAIN ST
Practice Address - Street 2:
Practice Address - City:LONDON
Practice Address - State:OH
Practice Address - Zip Code:43140-1115
Practice Address - Country:US
Practice Address - Phone:740-852-6256
Practice Address - Fax:740-852-6395
Is Sole Proprietor?:No
Enumeration Date:2010-07-27
Last Update Date:2010-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS0701563104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker