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Organization

PICKETT PSYCHOLOGICAL SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CLINTON PICKETT (OWNER)
(832) 509-7564
Entity
Organization

Contact information

Practice address
100 W. BENNETT AVENUE, CRIPPLE CREEK, CO 80813
(719) 598-3585
Mailing address
1259 LAKE PLAZA DR STE 255, COLORADO SPRINGS, CO 80906-3504

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Enumeration date
08/24/2022
Last updated
08/24/2022
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