Provider Demographics
NPI:1023299088
Name:HICKOX, SHARON K (AUD, MA, CCC-A)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:K
Last Name:HICKOX
Suffix:
Gender:F
Credentials:AUD, MA, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4055 CASCADE RD SE STE 201
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49546-2149
Mailing Address - Country:US
Mailing Address - Phone:616-252-5760
Mailing Address - Fax:616-252-5765
Practice Address - Street 1:4055 CASCADE RD SE STE 201
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49546-2149
Practice Address - Country:US
Practice Address - Phone:616-252-5760
Practice Address - Fax:616-252-5765
Is Sole Proprietor?:No
Enumeration Date:2007-11-19
Last Update Date:2020-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1601000307237600000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter