| Pickett Psychological Services, Llc | |
|
5360 N Academy Blvd Ste 220 Colorado Springs CO 80918-4038 | |
| (719) 598-3585 | |
| (720) 358-2674 |
| Full Name | Pickett Psychological Services, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 5360 N Academy Blvd Ste 220, Colorado Springs, Colorado |
| Authorized Official Name and Position | Clinton Pickett (OWNER) |
| Authorized Official Contact | 8327630823 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pickett Psychological Services, Llc 1259 Lake Plaza Dr Ste 255 Colorado Springs CO 80906-3504 Ph: (719) 598-3585 | Pickett Psychological Services, Llc 5360 N Academy Blvd Ste 220 Colorado Springs CO 80918-4038 Ph: (719) 598-3585 |
| NPI Number | 1730967712 |
|---|---|
| Provider Enumeration Date | 09/20/2023 |
| Last Update Date | 09/20/2023 |
| Certification Date | 09/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730967712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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