Individual
DR. KATHLEEN ANN TRICKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
3205 RANDALL PKWY, SUITE 105, WILMINGTON, NC 28403-2564
(910) 742-9243
(888) 746-1787
Mailing address
PO BOX 538622, ATLANTA, GA 30353-8622
(910) 742-9243
(888) 746-1787
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4109
NC
103TC0700X
Clinical Psychologist
4109
NC
103TC1900X
Counseling Psychologist
1418
AL
Other
Enumeration date
10/19/2006
Last updated
02/29/2016
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