Individual
CLINTON PICKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1259 LAKE PLAZA DR STE 255, COLORADO SPRINGS, CO 80906-3504
(832) 509-7564
Mailing address
1724 N GILPIN ST, DENVER, CO 80218-1206
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY.0005715
CO
Other
Enumeration date
04/06/2016
Last updated
09/20/2023
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