| Jake E. Ricketson High Point Psychological Assoc | |
|
405 Westwood Avenue High Point NC 27262-4325 | |
| (336) 887-7350 | |
| (336) 887-7353 |
| Full Name | Jake E. Ricketson High Point Psychological Assoc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 405 Westwood Avenue, High Point, North Carolina |
| Authorized Official Name and Position | Jake E Ricketson (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 3368877350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jake E. Ricketson High Point Psychological Assoc 405 Westwood Avenue High Point NC 27262-4325 Ph: (336) 887-7350 | Jake E. Ricketson High Point Psychological Assoc 405 Westwood Avenue High Point NC 27262-4325 Ph: (336) 887-7350 |
| NPI Number | 1083801781 |
|---|---|
| Provider Enumeration Date | 09/27/2007 |
| Last Update Date | 06/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083801781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1167 (North Carolina) | Primary |
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