Individual
PHILIP W WICKLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
644 UNIVERSITY BLVD, HARRISONBURG, VA 22801-3750
(540) 437-7866
(540) 433-4338
Mailing address
PO BOX 1430, HARRISONBURG, VA 22803-1430
(540) 437-7989
(540) 433-4123
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810004444
VA
Other
Enumeration date
07/29/2011
Last updated
07/29/2011
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