Individual
DR. PATRICIA E. WICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
6550 S. 84TH ST., SUITE 300, OMAHA, NE 68127
(402) 339-7991
(402) 339-7624
Mailing address
6550 S. 84TH ST., SUITE 300, OMAHA, NE 68127
(402) 339-7991
(402) 339-7624
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
216
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470804773-26
—
NE
Enumeration date
10/02/2006
Last updated
07/08/2007
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