DR. PSYCHOLOGIST David Lee Wickstrom, NPI 1366594202
Clinical Psychologist in Columbia, SC, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1366594202
NPI Entity Type Individual
Provider Name DR. PSYCHOLOGIST David Lee Wickstrom
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 7520 Monticello Rd, Columbia, SC, US
Provider Mailing Address 420 Longtown Rd W, Blythewood, SC, US, 290169450
Is Sole Proprietor? Yes
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Primary Taxonomy

Taxonomy Code

103TC0700X

Taxonomy Name Clinical Psychologist
Classification

Psychologist

Group

Behavioral Health & Social Service Providers

License No. 0591
License State SC
Description A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Business Address

DR. PSYCHOLOGIST David Lee Wickstrom
7520 Monticello Rd

Columbia, SC, US

Phone: 803-254-3313
Fax: 803-254-0370

Mailing Address

DR. PSYCHOLOGIST David Lee Wickstrom
420 Longtown Rd W
Blythewood, SC, US
ZIP 290169450
Phone: 803-318-2009
Fax: 803-691-9298

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