Organization
MAPLEWOOD PSYCHOLOGY P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDRA M WICK PHD, LP (DIRECTOR)
(651) 770-1311
Entity
Organization
Contact information
Practice address
2399 ARIEL ST N STE D, MAPLEWOOD, MN 55109-2203
(651) 770-1311
(651) 770-1879
Mailing address
2399 ARIEL ST N STE D, MAPLEWOOD, MN 55109-2203
(651) 770-1311
(651) 770-1879
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
11/15/2006
Last updated
07/23/2015
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