Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Corey Hicks, MEDCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1982009767

Corey Hicks, MEDCCC-SLP is a Speech-Language Pathologist in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2014

Practice location Address checks out

11512 Lake Mead Ave Ste 604
Jacksonville, FL 32256
Phone: (904) 652-5408
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SA 12067 (FL)

Record details

NPI number1982009767
Entity typeIndividual (Type 1)
GenderMale
Credentials MEDCCC-SLP
Sole proprietorYes
NPI enumeratedOctober 23, 2014
Last updated in NPPESOctober 23, 2014
Mailing address653 Monument Road Apt 1102, Jacksonville, FL 32225

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