MEDICARE: MARLEE DEANN HICKS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	125243	TX

General Provider Information

NPI Number	:	1568395499
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARLEE DEANN HICKS

Provider Business Mailing Address
First Line	:	105 28TH ST APT B
Second Line	:
City	:	CANYON
State	:	TX
Zip	:	79015-3113
Country	:	US
Telephone Number	:	806-353-3596
Fax Number	:

Provider Business Practice Location Address
First Line	:	1250 WALLACE BLVD
Second Line	:
City	:	AMARILLO
State	:	TX
Zip	:	79106-1741
Country	:	US
Telephone Number	:	806-353-3596
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

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Directions to “ MARLEE DEANN HICKS ” Practice Location

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