Individual
DR. LEZLIE ANNE PICKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
6240 TACOMA MALL BLVD, SUITE 103, TACOMA, WA 98409-6819
(404) 993-5610
Mailing address
6240 SOUTH TACOMA MALL BLVD, SUITE 103, TACOMA, WA 98409
(404) 993-5610
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 00003817
WA
103TF0200X
Forensic Psychologist
PY 00003817
WA
Other
Enumeration date
12/19/2012
Last updated
12/19/2012
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