Individual
DR. YOHANCE RUSHIED PICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
9637 ANDERSON LAKES PKWY, SUITE 162, EDEN PRAIRIE, MN 55344-4155
(952) 944-5502
Mailing address
149 VIRGINIA ST, 22, SAINT PAUL, MN 55102-2281
(626) 354-9380
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP5348
MN
Other
Enumeration date
07/08/2011
Last updated
07/08/2011
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