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Organization
REDLANDS PSYCHOLOGICAL, INC.
Active
Organization
REDLANDS PSYCHOLOGICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS ALLEN WICKHAM PH.D. (PRESIDENT)
(909) 793-8312
Entity
Organization
Contact information
Practice address
1210 NEVADA ST, SUITE101, REDLANDS, CA 92374-2895
(909) 793-8312
(909) 792-6507
Mailing address
1210 NEVADA ST, SUITE101, REDLANDS, CA 92374-2895
(909) 793-8312
(909) 792-6507
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
02/13/2007
Last updated
08/22/2020
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