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Contact Information

DIANE H WICKHAM, L.P.C.
26300 OUTER DR.
LINCOLN PARK, MI48146
 Phone: 313-388-4630
 Fax: 313-388-0472
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for DIANE H WICKHAM · (Female)

NPI Number 1376761684
Status Active
Credentials L.P.C.
Entity Individual
Enumeration date 04/23/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 6401002692
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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