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DR. THOMAS ALLEN WICKHAM PH.D. NPI 1609918663


NPI Information

NPI: 1609918663
Provider Name: DR. THOMAS ALLEN WICKHAM, PH.D.
Classification: Psychologist - 103TC0700X
Entity Type: Individual

Specialization: Clinical

Address:
1210 NEVADA ST
SUITE101
REDLANDS, CA
ZIP 92374
Phone: (909) 793-8312
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DR. Thomas Allen Wickham, PH.D. is a clinical psychologist in Redlands, CA. The provider is 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. DR. Thomas Allen Wickham, PH.D. NPI is 1609918663. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

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 12/19/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TA0700XPsychologistAdult Development & AgingPSY6128CALIFORNIANo
2103TB0200XPsychologistCognitive & BehavioralPSY6128CALIFORNIANo
3103TC1900XPsychologistCounselingPSY6128CALIFORNIANo
4103TC2200XPsychologistClinical Child & AdolescentPSY6128CALIFORNIANo
5103TF0000XPsychologistFamilyPSY6128CALIFORNIANo
6103TP0814XPsychologistPsychoanalysisPSY6128CALIFORNIANo
7103T00000XPsychologistPSY6128CALIFORNIANo
8103TP2701XPsychologistGroup PsychotherapyPSY6128CALIFORNIANo
9103TC0700XPsychologistClinicalPSY6128CALIFORNIAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.