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NPI Code Detail

MEDICARE: NANCY HICKOK BSL, APC

MEDICARE: NANCY HICKOK BSL, APC
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
1103K00000XBehavior AnalystBH002090PA
2101YP2500XProfessional CounselorAPC002458PA

General Provider Information

NPI Number : 1598646069
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY HICKOK BSL, APC
Provider Business Mailing Address
First Line : 121 STATE ST
Second Line :
City : NICHOLSON
State : PA
Zip : 18446-8210
Country : US
Telephone Number : 570-825-6425
Fax Number :
Provider Business Practice Location Address
First Line : 335 S FRANKLIN ST
Second Line :
City : WILKES BARRE
State : PA
Zip : 18702-3808
Country : US
Telephone Number : 570-825-6425
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2025
Last Update Date : 06/26/2026

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