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

Individual provider Counseling Psychologist · NPI 1356320212

Wallace Kent Hicks, EDD is a Counseling Psychologist in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2006.

Licensed in
KY
In the registry since
2006
What do these letters mean?
EDD — Doctor of Education
A doctorate in education.

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Practice location Address checks out

7400 New La Grange Rd Ste 312
Louisville, KY 40222-4870
Phone: (502) 394-9990
Fax: (502) 394-9992
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counseling Psychologist (primary) Taxonomy 103TC1900X · Licence KY 0227 (KY)

Record details

NPI number1356320212
Entity typeIndividual (Type 1)
GenderMale
Credentials EDD
Sole proprietorNo
NPI enumeratedJanuary 10, 2006
Last updated in NPPESJanuary 6, 2011

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