Dr Thomas Allen Wickham, PHD - Psychologist in Redlands, CA

Dr Thomas Allen Wickham, PHD is a Psychologist - Clinical based in Redlands, California. Dr Thomas Allen Wickham is licensed to practice in California (license number PSY6128) and his current practice location is 1210 Nevada St, Suite101, Redlands, California. He can be reached at his office (for appointments etc.) via phone at (909) 793-8312.

NPI number for Dr Thomas Allen Wickham is 1609918663 and his current mailing address is 1210 Nevada St, Suite101, Redlands, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1609918663.

Contact Information

Dr Thomas Allen Wickham, PHD
1210 Nevada St, Suite101,
Redlands, CA 92374-2895
(909) 793-8312
(909) 792-6507

Map and Direction




Healthcare Provider's Profile

Full NameDr Thomas Allen Wickham
GenderMale
SpecialityPsychologist - Clinical
Location1210 Nevada St, Redlands, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1609918663
  • Provider Enumeration Date: 02/13/2007
  • Last Update Date: 12/19/2011

Medical Identifiers

Medical identifiers for Dr Thomas Allen Wickham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609918663NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TA0700XPsychologist - Adult Development & Aging PSY6128 (California)Secondary
103TB0200XPsychologist - Cognitive & Behavioral PSY6128 (California)Secondary
103TC0700XPsychologist - Clinical PSY6128 (California)Primary
103TC1900XPsychologist - Counseling PSY6128 (California)Secondary
103TC2200XPsychologist - Clinical Child & Adolescent PSY6128 (California)Secondary
103TF0000XPsychologist - Family PSY6128 (California)Secondary
103TP0814XPsychologist - Psychoanalysis PSY6128 (California)Secondary
103T00000XPsychologist PSY6128 (California)Secondary
103TP2701XPsychologist - Group Psychotherapy PSY6128 (California)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Thomas Allen Wickham is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Thomas Allen Wickham, PHD
1210 Nevada St, Suite101,
Redlands, CA 92374-2895

Ph: (909) 793-8312
Dr Thomas Allen Wickham, PHD
1210 Nevada St, Suite101,
Redlands, CA 92374-2895

Ph: (909) 793-8312

Reviews and Comments


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