Individual
DR. EMILY WYCKOFF
Active
Individual
DR. EMILY WYCKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
004566
CT
103TH0004X
Health Psychologist
4566
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/06/2023
Last updated
08/29/2023
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