Individual
DR. ALEENA HAY WICKHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
220 5TH AVE FL 11, NEW YORK, NY 10001-8017
(646) 504-1814
Mailing address
95 WEST ST, WALPOLE, MA 02081-1819
(508) 660-1510
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
025936
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110026265E
—
MA
Enumeration date
07/28/2016
Last updated
09/06/2023
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