NPI 1255852463
Amanda Renea Hickman
Practice location
- Address
- 6601 Phoenix Ave STE B, Fort Smith, AR 72903-5092
- Phone
- (479) 785-9091
- Mailing address
- 1 Childrens Way # 512-39, Little Rock, AR 72202-3500
Registered specialties
Developmental Therapist
Primary
Registry record
- NPI
- 1255852463
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 28 Jun 2017
- Record last updated
- 28 Jun 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.