Search › Connecticut › 225A00000X
Mark Wickham, MT-BC
NPI 1972480846 · on the registry since 2025
Practice
- Address
- 196 Queen St
Southington, CT 06489 - Phone
- (860) 518-5777
- Clinicians at this address
- 23
Registry record
- Primary taxonomy
- 225A00000X
225A00000X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-08-20
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 Connecticut