Individual
MICHELLE WICKIZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
1229 LAKE PLAZA DR STE A, COLORADO SPRINGS, CO 80906-7401
(719) 313-2578
(719) 735-4952
Mailing address
PO BOX 38553, COLORADO SPRINGS, CO 80937-8553
(719) 313-2578
(719) 434-9811
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY.0005676
CO
Other
Enumeration date
11/02/2021
Last updated
01/29/2024
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