| NPI | 1609918663 |
|---|---|
| Other Name | THOMAS A WICKHAM |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY6128) |
| Additional Taxonomies | 103TA0700X Psychologist Adult Development & Aging (Licence: CA PSY6128) |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: CA PSY6128) | |
| 103TC1900X Psychologist Counseling (Licence: CA PSY6128) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CA PSY6128) | |
| 103TF0000X Psychologist Family (Licence: CA PSY6128) | |
| 103TP0814X Psychologist Psychoanalysis (Licence: CA PSY6128) | |
| 103T00000X Psychologist (Licence: CA PSY6128) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: CA PSY6128) | |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2011-12-19 |