DR. Amanda M. Wickett, PSYD, H.S.P.P.

NPI #1770511149 in Logansport, Indiana

Provider Information

NPI Number: 1770511149
Entity Type: Individual
Name: DR. Amanda M. Wickett, PSYD, H.S.P.P.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: PSYD, H.S.P.P.
Enumeration Date: Jun 28, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1807 SMITH ST
City: Logansport
State: Indiana
ZIP Code: 46947-1576
Phone: (574) 732-1414

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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