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Organization

FRANK B WICHERN, PHD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FRANK B WICHERN SR. PH.D. (PRESIDENT)
(972) 234-3178
Entity
Organization

Contact information

Practice address
600 W CAMPBELL RD, SUITE 5, RICHARDSON, TX 75080-3357
(972) 234-3178
Mailing address
600 W CAMPBELL RD, SUITE 5, RICHARDSON, TX 75080-3357
(972) 234-3178
(972) 437-1530

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
21663
TX
103TC2200X
Clinical Child & Adolescent Psychologist
21663
TX
103TH0100X
Health Service Psychologist
Primary
21663
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0004099945
AETNA
01
00FC19
BLUE CROSS
TX
01
07984000
MAGELLAN HEALTH
01
171179
VALUE OPTIONS
TX
01
72882191
UHC
Enumeration date
01/25/2006
Last updated
08/07/2007
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