Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. David Lee Wickstrom, PSYCHOLOGIST

Individual provider Clinical Psychologist · NPI 1366594202

Dr. David Lee Wickstrom, PSYCHOLOGIST is a Clinical Psychologist in Columbia, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2007

Practice location Address checks out

7520 Monticello Rd
Columbia, SC 29203-1516
Phone: (803) 254-3313
Fax: (803) 254-0370
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 0591 (SC)

Record details

NPI number1366594202
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYCHOLOGIST
Sole proprietorYes
NPI enumeratedJanuary 18, 2007
Last updated in NPPESJuly 8, 2007

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