Organization
JENNIFER TICKAL, PSY.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER TICKAL PSY.D. (CLINICAL PSYCHOLOGIST)
(321) 217-6086
Entity
Organization
Contact information
Practice address
1555 N MAITLAND AVE, MAITLAND, FL 32751-3325
(813) 563-5676
Mailing address
2328 FOLIAGE OAK TER, OVIEDO, FL 32766-7021
(321) 217-6086
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY8723
FL
Other
Enumeration date
02/16/2016
Last updated
01/18/2021
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