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Individual

DR. CAROLYN PICKETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
305 WASHINGTON ST SW, BLACKSBURG, VA 24060
(540) 552-3046
(540) 552-0119
Mailing address
305 WASHINGTON ST SW, BLACKSBURG, VA 24060
(540) 552-3046
(540) 552-0119

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810001015
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
018734
VALUE OPTIONS
VA
Enumeration date
01/17/2007
Last updated
07/09/2007
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