Dr. Lawrence Manley Wilcox
Clinical Psychologist
1421 P St. #16
Sacramento
, California 95814-5921
Dr. Lawrence Manley Wilcox
Clinical Psychologist
1421 P St. #16
Sacramento
, California 95814-5921
(530) 521-4350
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Dr. Lawrence Manley Wilcox
- 1421 P St. #16
- Sacramento, CA
- Zip : 95814-5921
- Phone : (530) 521-4350
Second Address
- Dr. Lawrence Manley Wilcox
- 1421 P St. #16
- Sacramento, CA
- Zip : 95814-5921
- Phone : (530) 521-4350
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | PSY10418 | CA |
| Y | 103TC0700X | Clinical Psychologist | PSY10418 | CA |
National Provider Identifier
| NPI | 1003029471 |
|---|---|
| Provider Name | Dr. Lawrence Manley Wilcox |
| First Address | Sacramento, CA 95814-5921 |
| Second Address | Sacramento, CA 95814-5921 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/05/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0PL104160 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.