Individual
DR. GAIL YVONNE PICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1219 WASHINGTON AVE, DETROIT LAKES, MN 56501-3905
(218) 846-2244
Mailing address
1219 WASHINGTON AVE, DETROIT LAKES, MN 56501-3905
(218) 846-2244
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
337
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018708
BCBS PROVIDER NUMBER
ND
01
—
260043017
RR MEDICARE
ND
Enumeration date
06/04/2006
Last updated
03/25/2022
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