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NPI Code Detail

MEDICARE: DAVID PICKERING

MEDICARE: DAVID PICKERING
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical PsychologistP1223TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851569412
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAVID PICKERING
Provider Business Mailing Address
First Line : 367B N PARKWAY STE 1
Second Line :
City : JACKSON
State : TN
Zip : 38305-2899
Country : US
Telephone Number : 731-668-2277
Fax Number : 731-660-0510
Provider Business Practice Location Address
First Line : 367B N PARKWAY STE 1
Second Line :
City : JACKSON
State : TN
Zip : 38305-2899
Country : US
Telephone Number : 731-668-2277
Fax Number : 731-660-0510
Authorized Official
Title or Position : MEMBER
Name : DAVID E. PICKERING
Credential : PH.D.
Telephone Number : 731-668-2277
Provider Enumeration Date : 02/18/2008
Last Update Date : 02/18/2008

Similar Medicare Providers

1578569604 — DR. DAVID E. PICKERING PH.D.
Practice Location Address:
367B N PARKWAY , STE 1
JACKSON, TN
38305-2899
Practice Phone: 731-668-2277
Practice Fax: 731-660-0510
1932148426 — GAYLE MICHAEL CRAVENS ED.D.
Practice Location Address:
367B N PARKWAY
JACKSON, TN
38305-2899
Practice Phone: 731-668-2277
Practice Fax:
1821184805 — JOHN H REDDEN LPC
Practice Location Address:
367B N PARKWAY STE 1
JACKSON, TN
38305-2899
Practice Phone: 731-668-2277
Practice Fax: 731-660-0510
1972702223 — GAYLE M CRAVENS
Practice Location Address:
367B N PARKWAY STE 1
JACKSON, TN
38305-2899
Practice Phone: 731-668-2277
Practice Fax: 731-660-0510
1740425461 — DR. JENNA LEA BRITT L.P.C., M.H.S.P.
Practice Location Address:
367B N PARKWAY STE 1
JACKSON, TN
38305-2899
Practice Phone: 731-668-2277
Practice Fax: 731-660-0510
1134498249 — D.U.O. SERVICES INC
Practice Location Address:
367B N PARKWAY STE 6
JACKSON, TN
38305-2899
Practice Phone: 731-664-7664
Practice Fax: 731-664-8584

Directions to “DAVID PICKERING ” Practice Location

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