Michael Wickersham

NPI 1932572161 · on the registry since 2015

Practice

Address: 3970 S 700 E Ste 17
Salt Lake City, UT 84107
Phone: (801) 639-9544
Fax: (801) 263-4333
Organisation at this address: Lc Dental Care Llc
James T. Roth, M.D., P.C.
Alan T. Rappleye, M.D., P.C.
Spencer P. Barney, M.D., P.C.
Utah Psychological Center Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 14

Registry record

Primary taxonomy: Clinical Social Worker
1041C0700X
Licence states on file: UT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2016-06-20

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 Utah