Organization
JAKE E. RICKETSON HIGH POINT PSYCHOLOGICAL ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAKE E RICKETSON (LICENSED PSYCHOLOGIST)
(336) 887-7350
Entity
Organization
Contact information
Practice address
405 WESTWOOD AVENUE, HIGH POINT, NC 27262-4325
(336) 887-7350
(336) 887-7353
Mailing address
405 WESTWOOD AVENUE, HIGH POINT, NC 27262-4325
(336) 887-7350
(336) 887-7353
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1167
NC
Other
Enumeration date
09/27/2007
Last updated
06/30/2008
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