Alan Ickowitz, Psy.D., P.A. in Tampa - Addiction (substance Use Disorder)
Alan Ickowitz, Psy.D., P.A. - NPI 1861510091
Alan Ickowitz, Psy.D., P.A. is a Addiction (substance Use Disorder) in Tampa, Florida. Alan Ickowitz, Psy.D., P.A. practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Alan Ickowitz, Psy.D., P.A. is 1861510091. The last update date is 2020-08-22.
Alan Ickowitz, Psy.D., P.A.'s current location address is 6105 Memorial Hwy, Tampa, Florida. You can contact this provider via phone number 8138149839 and fax number 8132001044. The mailing address for Alan Ickowitz, Psy.D., P.A. is 6105 Memorial Hwy, Tampa, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Alan Ickowitz, Psy.D., P.A. |
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Address | 6105 Memorial Hwy, Tampa, Florida |
Phone Number | 8138149839 |
Fax Number | 8132001044 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Ickowitz Y Alan |
Credentials | PSY.D. |
Telephone Number | 8138149839 |
NPI Number Detail
NPI Number | 1861510091 |
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Provider Enumeration Date | 2007-03-26 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 6105 Memorial Hwy |
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City | Tampa |
State | Florida (FL) |
Post Code | 336154597 |
Phone Number | 8138149839 |
Fax Number | 8132001044 |
Provider's Primary Taxonomy Detail
Speciality | Addiction (substance Use Disorder) |
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Taxonomy | 103Ta0400X |
Licence No | PY5649 |
Definition: A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., ga |
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What is the Alan Ickowitz, Psy.D., P.A.'s 1861510091?
The Alan Ickowitz, Psy.D., P.A.'s NPI (National Provider Identifier) Number is 1861510091. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Alan Ickowitz, Psy.D., P.A. is geographically located?
The Alan Ickowitz, Psy.D., P.A. is physically situated at the following location: 6105 Memorial Hwy, Tampa, FL, 336154597.
What is Alan Ickowitz, Psy.D., P.A.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Alan Ickowitz, Psy.D., P.A. is Addiction (substance Use Disorder), and the taxonomy code that classifies this field of practice is 103Ta0400X.
When was the Alan Ickowitz, Psy.D., P.A.'s 1861510091 issued?
The Alan Ickowitz, Psy.D., P.A.'s 1861510091 was issued on 2007-03-26.
As of what date were the Alan Ickowitz, Psy.D., P.A.'s details last updated?
The information pertaining to the Alan Ickowitz, Psy.D., P.A., including its address, specialty, and other details, was most recently updated on 2020-08-22.
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