| Doctor Name: | JACOB PICKARD |
| NPI Number: | 1225310915 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 35177 |
| Business Practice Address: | 11807 Drought Pass Helotes, TX - 780234447 |
| Business Phone Number: | 5057209408 |
| Business Fax Number: | |
| Mailing Address: | 11807 Drought Pass, HELOTES |
| State: | TX |
| Postal Code: | 780234447 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 09/19/2011 |
| NPI Last Update Date: | 09/19/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TF0200X |
| License Number: | 35177 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Forensic |
| Taxonomy Definition: | |