Organization
DAVID PICKERING
Active
Organization
DAVID PICKERING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID E. PICKERING PH.D. (MEMBER)
(731) 668-2277
Entity
Organization
Contact information
Practice address
367B N PARKWAY STE 1, JACKSON, TN 38305-2899
(731) 668-2277
(731) 660-0510
Mailing address
367B N PARKWAY STE 1, JACKSON, TN 38305-2899
(731) 668-2277
(731) 660-0510
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P1223
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3680830
—
TN
Enumeration date
02/18/2008
Last updated
02/18/2008
Update your record
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