DR. DAVID LEE WICKSTROM PSYCHOLOGIST
NPI 1366594202
Psychologist - Clinical in Columbia, SC

Q: What is David Wickstrom's NPI number?

The NPI number for David Wickstrom is 1366594202. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Q: What is David Wickstrom's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for David Wickstrom was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 18, 2007

7520 MONTICELLO RD, COLUMBIA, SC 29203(803) 254-3313(803) 254-0370 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Dr. David Lee Wickstrom Psychologist NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DAVID LEE WICKSTROM PSYCHOLOGIST (NPI 1366594202) is an individual clinical provider in Columbia, South Carolina, licensed in South Carolina (0591) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1366594202

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. DAVID LEE WICKSTROMCredential: PSYCHOLOGIST

Location Address7520 MONTICELLO RDColumbia, SC 29203-1516

Mailing Address420 Longtown Rd WBlythewood, SC 29016-9450 · (803) 318-2009 · Fax (803) 691-9298

Phone(803) 254-3313

Fax(803) 254-0370

Sole ProprietorYes

Enumeration DateJanuary 18, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1366594202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in SC · 0591

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

7520 MONTICELLO RD, Columbia, SC 29203

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHERILYN JOHNSON LPC

Counselor (Professional)

7520 MONTICELLO RD
COLUMBIA, SC 29203

Richland County (803) 451-8641

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Wickstrom's NPI number?

The NPI number for David Wickstrom is 1366594202. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Where is David Wickstrom located?

David Wickstrom practices at 7520 Monticello Rd, Columbia, SC 29203. The listed phone number is (803) 254-3313.

What is David Wickstrom's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for David Wickstrom was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.