Individual
PAULA BICKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
16 LEON SULLIVAN WAY, SUITE 300, CHARLESTON, WV 25301-2402
(304) 346-9689
(304) 345-4601
Mailing address
16 LEON SULLIVAN WAY, SUITE 300, CHARLESTON, WV 25301-2402
(304) 346-9689
(304) 345-4601
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
882
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891826707
TYPE 2 NPI NUMBER
WV
Enumeration date
05/18/2007
Last updated
07/08/2007
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