Thomas Wickham, PH.D

NPI 1609918663 · on the registry since 2007 · sole proprietor

Practice

Address: 1210 Nevada St
Suite101
Redlands, CA 92374
Phone: (909) 793-8312
Fax: (909) 792-6507
Organisation at this address: Redlands Psychological, Inc.
Family Primary And Specialty Care Clinic
La Laser Center Pc, A Professional Medical Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 103TC0700X
103TC0700X
Also registered as: 103TA0700X
103TB0200X
103TC1900X
103TC2200X
103TF0000X
103TP0814X
103T00000X
103TP2701X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2011-12-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California