Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DAVID LEE WICKSTROM, PSYCHOLOGIST
Active Sole ProprietorDR. DAVID LEE WICKSTROM, PSYCHOLOGIST is a Clinical Psychologist healthcare provider located in COLUMBIA, South Carolina. NPI 1366594202 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · COLUMBIA, SC
Registration Details
- NPI Number
- 1366594202
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 18, 2007 (19.532465007704 yrs)
- Last Updated
- Jul 8, 2007
- License
-
0591 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7520 MONTICELLO RDCOLUMBIA, SC, 292031516Browse SC providers · Browse ZIP 29203
- Phone
- 8032543313
- Fax
- 8032540370
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in COLUMBIA, SC
| Name | Credential | NPI |
|---|---|---|
| DR. VERNELL KENNEDY FOGLE | PH.D. | 1063411452 |
| DR. LIGIA LATIFF-BOLET | PH.D. | 1366439903 |
| DR. KAREN D LAKE | PH.D | 1487622197 |
| PROF. JANE R LITTMANN | PHD | 1285694463 |
| DEROSSET MYERS JR. | PHD | 1659331460 |
| MS. ALLISON FOSTER DEFELICE | PH.D. | 1306807573 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.