Individual
JEFFREY L PICKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
115 MILL ST, BELMONT, MA 02478-1041
(617) 855-2866
Mailing address
115 MILL ST, BELMONT, MA 02478-1041
(617) 855-2866
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4464
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W04537
BCBS
MA
Enumeration date
11/30/2006
Last updated
07/08/2007
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