Individual
DR. CAITLIN WICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
320 WESTERN AVE, PETALUMA, CA 94952-2919
(707) 479-9156
Mailing address
616 KENTUCKY ST, PETALUMA, CA 94952-2854
(707) 479-9156
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
33542
CA
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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