Organization
FRANK B WICHERN, PHD
Active
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
Update your record
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