Search › South Carolina › 103TC0700X
David Wickstrom, PSYCHOLOGIST
NPI 1366594202 · on the registry since 2007 · sole proprietor
Practice
- Address
- 7520 Monticello Rd
Columbia, SC 29203 - Phone
- (803) 254-3313
- Fax
- (803) 254-0370
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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 South Carolina