Provider Demographics
NPI:1124304324
Name:HICKS, ASHLEY MARIE (PHD)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:MARIE
Last Name:HICKS
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 1:4801 COUNT ST
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17109-3225
Mailing Address - Country:US
Mailing Address - Phone:717-497-7144
Mailing Address - Fax:
Practice Address - Street 1:353 MARKLE DR STE 4
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17111-2762
Practice Address - Country:US
Practice Address - Phone:856-346-0005
Practice Address - Fax:717-693-0989
Is Sole Proprietor?:No
Enumeration Date:2011-11-01
Last Update Date:2025-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH001136103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst