ALAN ICKOWITZ, PSY.D., P.A.
Social Work at Memorial Hwy, Tampa, FL

License number
Florida PY5649
Category
Psychologist
Type
Psychologist
License number
Florida PY5649
Category
Social Work
Type
Addiction (Substance Use Disorder)
License number
Florida PY5649
Category
Social Work
Type
Clinical
Owner
Name: DR. ALAN Y ICKOWITZ PSY.D.
Title: PRESIDENT
Phone: (813) 814-9839
Address
Address
6105 Memorial Hwy STE B, Tampa, FL 33615
National Provider ID: 1861510091
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Alan Ickowitz, Psy.D., PA

6105 Memorial Hwy, Tampa, FL 33615

Industry:
Health Practitioner's Office
Doing business as:
Alan Ickowitz
Registration:
Dec 11, 2003
State ID:
P03000149285
Business type:
Domestic for Profit Corporation
Director, President, Psychologist:
Alan Ickowitz (Director, President, Psychologist)

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