Individual
DR. MIRIAM SARAH ZICHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
36362 US HIGHWAY 19 N, SEIN PROFESSIONAL CENTER, PALM HARBOR, FL 34684-1328
(727) 787-6177
(727) 787-8066
Mailing address
36362 US HIGHWAY 19 NORTH, SEIN PROFESSIONAL CENTER, PALM HARBOR, FL 34684
(727) 787-6177
(727) 787-8066
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY5554
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54832
BC/BS
FL
Enumeration date
11/01/2006
Last updated
06/05/2008
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