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Dr. Jake Edwin Ricketson, PSYD
Clinical Psychologist in High Point, North Carolina
NPI 1356409734

Jake Edwin Ricketson is a Clinical Psychologist based in High Point, NC and is specialized in Clinical. Jake Edwin Ricketson practices in High Point, NC and has the professional credentials of PSYD. The NPI Number for Jake Edwin Ricketson is 1356409734 and holds a License No. 1167 (North Carolina).

The current practice location address for Jake Edwin Ricketson is 405 Westwood Ave, High Point, NC and can be reached out via phone at 336-887-7350 and via fax at 336-887-7353. You can also correspond with Jake Edwin Ricketson through the mailing address at 405 WESTWOOD AVE, HIGH POINT, NC - 27262-4325 (mailing address contact number: 336-887-7350).

Location: 405 Westwood Ave, High Point, NC, 27262-4325
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356409734
Provider Name
Jake Edwin Ricketson
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
405 Westwood Ave, High Point, NC, 27262-4325
Phone Number
336-887-7350
Fax Number
336-887-7353
Provider Enumeration Date
12/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
04492 01 NC BCBS PRIVATE INSURANCE
6000026 05 NC
21519 01 NC MEDCAST PRIVATE INSURANCE
institution
Provider Business Practice Location Address Details
Address
405 Westwood Ave
City
High Point
State
North Carolina
Zip
27262-4325
Phone Number
336-887-7350
Fax Number
336-887-7353
person
Provider Business Mailing Address Details
Address
405 Westwood Ave
City
High Point
State
North Carolina
Zip
27262-4325
Phone Number
336-887-7350
Fax Number
336-887-7353
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
1167 (North Carolina)
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.
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