Individual
LEE H PICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
300 PRISON RD, FSP MH CLINIC, REPRESA, CA 95671-3001
(916) 965-2561
Mailing address
136 MARBLE CANYON DR, FOLSOM, CA 95630-7114
(916) 897-1770
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY22305
CA
Other
Enumeration date
01/08/2008
Last updated
03/12/2013
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