Individual
DR. JOHN J. WICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2128 V ST, SACRAMENTO, CA 95818-1732
(916) 456-1876
(916) 736-2006
Mailing address
2128 V ST, SACRAMENTO, CA 95818-1732
(916) 456-1876
(916) 736-2006
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY 7564
CA
103TC0700X
Clinical Psychologist
PSY 7564
CA
Other
Enumeration date
04/10/2008
Last updated
04/10/2008
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