Organization
ALICIA R VIDAL ZAS PSY D PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALICIA R VIDAL ZAS PSY.D. (CLINICAL PSYCHOLOGIST)
(305) 221-8200
Entity
Organization
Contact information
Practice address
14225 SW 42ND ST, MIAMI, FL 33175-6408
(305) 221-8200
(305) 221-9800
Mailing address
14225 SW 42ND ST, MIAMI, FL 33175-6408
(305) 221-8200
(305) 221-9800
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY6481
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000154000
—
FL
Enumeration date
10/16/2006
Last updated
08/07/2014
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