Individual
THOMAS PICKTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4572 DRESSLER RD NW, CANTON, OH 44718-2546
(330) 493-4220
(330) 493-8850
Mailing address
4572 DRESSLER RD NW, CANTON, OH 44718-2546
(330) 493-4220
(330) 493-8850
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4019
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000130009
ANTHEM
OH
01
—
037496000
MAGELLAN
OH
Enumeration date
12/13/2006
Last updated
07/08/2007
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