Wickham, Thomas Allen

Wickham, Thomas Allen is an sole proprietor health care provider with primary practice located at 1210 Nevada St Suite101, Redlands CA 92374-2895. He recently has 9 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Psychoanalysis, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Group Psychotherapy. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Wickham, Thomas Allen can be contacted via phone (909) 793-8312.

Contact Information

Primary practice address
1210 Nevada St Suite101 Redlands CA 92374-2895
Phone: (909) 793-8312
Fax: (909) 792-6507
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X PSY6128 California
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X PSY6128 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY6128 California
Behavioral Health & Social Service Providers / Counseling 103TC1900X PSY6128 California
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY6128 California
Behavioral Health & Social Service Providers / Family 103TF0000X PSY6128 California
Behavioral Health & Social Service Providers / Psychoanalysis 103TP0814X PSY6128 California
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY6128 California
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X PSY6128 California

Profile Details

NPI number 1609918663
LBN Legal business name Wickham, Thomas Allen
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2007
Last updated Dec 19th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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