DR. TERRILL SHARON LEVINSON WICKHAM PH.D. NPI 1255473211

NPI Information

NPI: 1255473211
Provider Name: DR. TERRILL SHARON LEVINSON WICKHAM, PH.D.
Classification: Psychologist - 103TA0700X
Entity Type: Individual

Specialization: Adult Development & Aging

Address:
1210 NEVADA ST
SUITE101
REDLANDS, CA
ZIP 92374
Phone: (909) 793-8312
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DR. Terrill Sharon Levinson Wickham, PH.D. is an adult development and aging psychologist in Redlands, CA. The provider is a psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later life. Professional geropsychology appreciates the wide diversity among older adults, the complex ethical issues that can arise in geriatric practice and the importance of interdisciplinary models of care. DR. Terrill Sharon Levinson Wickham, PH.D. NPI is 1255473211. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1210 NEVADA ST
SUITE101
REDLANDS, CA
ZIP 92374-895
Phone: (909) 793-8312
Fax: (909) 792-6507

The enumeration date for this NPI number is 2/13/2007 and was last updated on 7/8/2007.

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
1	103TA0700X	Psychologist	Adult Development & Aging	PSY8407	CALIFORNIA	Yes
2	103TB0200X	Psychologist	Cognitive & Behavioral	PSY8407	CALIFORNIA	X
3	103TC0700X	Psychologist	Clinical	PSY8407	CALIFORNIA	X
4	103TC2200X	Psychologist	Clinical Child & Adolescent	PSY8407	CALIFORNIA	X
5	103TM1800X	Psychologist	Intellectual and Developmental Disabilities	PSY8407	CALIFORNIA	X
6	103T00000X	Psychologist		PSY8407	CALIFORNIA	X

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: 4/28/2024

NPI Synchronization or Removal

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