Healthcare Provider Details

I. General information

NPI: 1689501231
Provider Name (Legal Business Name): HANNAH NOEL HICKS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

902 CAMINITO MADRIGAL UNIT A
CARLSBAD CA
92011-2441
US

IV. Provider business mailing address

902 CAMINITO MADRIGAL UNIT A
CARLSBAD CA
92011-2441
US

V. Phone/Fax

Practice location:
  • Phone: 661-644-6330
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number32801
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: