| Dr. Jacob Pickard Phd, Clinical Psychologist, Pc | |
|
1854 Lockhill Selma Rd Ste 102 San Antonio TX 78213-1557 | |
| (210) 549-7810 | |
| Not Available |
| Full Name | Dr. Jacob Pickard Phd, Clinical Psychologist, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 1854 Lockhill Selma Rd Ste 102, San Antonio, Texas |
| Authorized Official Name and Position | Jacob Pickard (OWNER) |
| Authorized Official Contact | 2105497810 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Jacob Pickard Phd, Clinical Psychologist, Pc 1854 Lockhill Selma Rd Ste 102 San Antonio TX 78213-1557 Ph: (210) 549-7810 | Dr. Jacob Pickard Phd, Clinical Psychologist, Pc 1854 Lockhill Selma Rd Ste 102 San Antonio TX 78213-1557 Ph: (210) 549-7810 |
| NPI Number | 1396251757 |
|---|---|
| Provider Enumeration Date | 12/21/2017 |
| Last Update Date | 12/21/2017 |
| Medicare PECOS PAC ID | 8224398763 |
|---|---|
| Medicare Enrollment ID | O20180201001570 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396251757 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jacob P Pickard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225310915 PECOS PAC ID: 9830364074 Enrollment ID: I20111215000917 |
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