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FRANK B WICHERN PHD NPI 1073583589


NPI Information

NPI: 1073583589
Provider Name: FRANK B WICHERN, PHD
Classification: Psychologist - 103TH0100X
Entity Type: Organization

Specialization: Health Service

Address:
600 W CAMPBELL RD
SUITE 5
RICHARDSON, TX
ZIP 75080
Phone: (972) 234-3178
Get Directions

FRANK B WICHERN, PHD is a health service psychologist in Richardson, TX. The provider is a psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). FRANK B WICHERN, PHD NPI is 1073583589. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

600 W CAMPBELL RD
SUITE 5
RICHARDSON, TX
ZIP 75080-357
Phone: (972) 234-3178

The provider's authorized official is Frank B Wichern .
The authorized official title is President and has the following contact phone number (972) 234-3178.

The enumeration date for this NPI number is 1/25/2006 and was last updated on 8/7/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinical21663TEXASNo
2103TC2200XPsychologistClinical Child & Adolescent21663TEXASNo
3103TH0100XPsychologistHealth Service21663TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100FC19OTHERTEXASBLUE CROSS
2171179OTHERTEXASVALUE OPTIONS
30004099945OTHERAETNA
472882191OTHERUHC
507984000OTHERMAGELLAN HEALTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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