Individual
DR. BRUCE PICKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
3819 23RD ST N, ARLINGTON, VA 22207-3807
(703) 812-8282
Mailing address
3819 23RD ST N, ARLINGTON, VA 22207-3807
(703) 812-8282
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810002005
VA
103TC2200X
Clinical Child & Adolescent Psychologist
0810002005
VA
103TH0004X
Health Psychologist
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—
Other
Enumeration date
02/02/2009
Last updated
02/02/2009
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