Individual
DR. ALAN Y ICKOWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
201 DOUGLAS AVE STE A, DUNEDIN, FL 34698-7953
(813) 814-9839
(813) 200-1044
Mailing address
201 DOUGLAS AVE STE A, DUNEDIN, FL 34698-7953
(813) 814-9839
(813) 200-1044
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PY5649
FL
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PY5649
FL
103TC0700X
Clinical Psychologist
Primary
PY5649
FL
Other
Enumeration date
03/26/2007
Last updated
10/16/2020
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