Provider Demographics
NPI:1952912982
Name:HICKMAN, ANDREW CHARLES (MS, CF-SLP)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:CHARLES
Last Name:HICKMAN
Suffix:
Gender:M
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:241 HEMLOCK RD
Mailing Address - Street 2:
Mailing Address - City:WAYNESBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15370-4830
Mailing Address - Country:US
Mailing Address - Phone:724-833-7314
Mailing Address - Fax:
Practice Address - Street 1:101 S VINE ST
Practice Address - Street 2:
Practice Address - City:CARMICHAELS
Practice Address - State:PA
Practice Address - Zip Code:15320-1255
Practice Address - Country:US
Practice Address - Phone:724-319-2043
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-13
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist