Individual
JESSICA TYLICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
7000 W PALMETTO PARK RD STE 201, BOCA RATON, FL 33433-3430
(561) 732-2000
Mailing address
1601 CLINT MOORE RD STE 120, BOCA RATON, FL 33487-5712
(561) 732-7000
(561) 731-2997
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PY11524
FL
103T00000X
Psychologist
PY11524
FL
103TC0700X
Clinical Psychologist
Primary
PY11524
FL
Other
Enumeration date
07/12/2022
Last updated
07/29/2025
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