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Individual
DR. THOMAS ALLEN WICKHAM
Active
Individual
DR. THOMAS ALLEN WICKHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY6128
CA
103TA0700X
Adult Development & Aging Psychologist
PSY6128
CA
103TB0200X
Cognitive & Behavioral Psychologist
PSY6128
CA
103TC0700X
Clinical Psychologist
Primary
PSY6128
CA
103TC1900X
Counseling Psychologist
PSY6128
CA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY6128
CA
103TF0000X
Family Psychologist
PSY6128
CA
103TP0814X
Psychoanalysis Psychologist
PSY6128
CA
103TP2701X
Group Psychotherapy Psychologist
PSY6128
CA
Other
Enumeration date
02/13/2007
Last updated
12/19/2011
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