AUTUMN WICKERSHAM L.P.C. NPI 1689127177

NPI Information

NPI: 1689127177
Provider Name: AUTUMN WICKERSHAM, L.P.C.
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
836 W SOUTH BOUNDARY ST
PERRYSBURG, OH
ZIP 43551
Phone: (419) 874-3201
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Autumn Wickersham, L.P.C. is a mental health counselor in Perrysburg, OH. Autumn Wickersham, L.P.C. NPI is 1689127177. 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:

836 W SOUTH BOUNDARY ST
PERRYSBURG, OH
ZIP 43551
Phone: (419) 874-3201

The enumeration date for this NPI number is 8/1/2016 and was last updated on 8/1/2016.

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	101YM0800X	Counselor	Mental Health	1500510	OHIO	Yes

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: 11/14/2023

NPI Synchronization or Removal

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