Organization
PICKETT PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLINTON PICKETT (OWNER)
(832) 763-0823
Entity
Organization
Contact information
Practice address
5360 N ACADEMY BLVD STE 220, COLORADO SPRINGS, CO 80918-4038
(719) 598-3585
(720) 358-2674
Mailing address
1259 LAKE PLAZA DR STE 255, COLORADO SPRINGS, CO 80906-3504
(719) 598-3585
(720) 358-2674
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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