Individual
JACOB PICKARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
11807 DROUGHT PASS, HELOTES, TX 78023-4447
(505) 720-9408
Mailing address
11807 DROUGHT PASS, HELOTES, TX 78023-4447
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35177
TX
103TF0200X
Forensic Psychologist
35177
TX
Other
Enumeration date
09/19/2011
Last updated
09/19/2011
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