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Contact Information

TERRELL D PICKETT
22490 N VANDERVEEN WAY
MARICOPA, AZ85138-5569
 Phone: 623-826-4195
 Fax: 602-279-1431
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
 

Case Manager/Care Coordinator

171M00000X
 

Community Health Worker

172V00000X
 

Exercise & Sports

103TE1100X 62 Psychologist, Clinical
 

Family

103TF0000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for TERRELL D PICKETT · (Male)

NPI Number 1033636691
Status Active
Credentials
Entity Individual
Enumeration date 08/24/2017
Last updated 02/06/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • AZ Other 6426468 DCS/OLR
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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