John Wickey PH.D.

NPI 1679742985 - Psychologist - 103TC0700X

NPI Details
NPI 1679742985
Gender Male
Enumeration Date 02/21/2008
Last Updated 02/21/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
17352 W 12 MILE RD
SOUTHFIELD MI, 48076-2119, US
Phone (248) 559-0730
Fax (248) 569-7626
Business Location
PLYMOUTH MI, 48170-4615, US
Phone (248) 455-2993
Fax (248) 569-7626
Taxonomy Code 103TC0700X
License State Michigan
License Number 6301000699
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According to our database, Dr. John Wickey PH.D. NPI is 1679742985, taxonomy code is 103TC0700X and license number is 6301000699, license state is located at Michigan. John Wickey PH.D. physically located at 17352 W 12 Mile Rd, Southfield MI, 48076-2119. NPI Number John Wickey PH.D. has the Individual type.

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1679742985 NPI number is provided on an as is basis without warranty of any kind. 1679742985 is maintained by the National Plan & Provider Enumeration System. The contents of John Wickey PH.D. are for informational purposes only.