Organization
MIRIAM ZICHT, PH.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIRIAM ZICHT PH.D. (PRESIDENT)
(352) 584-2232
Entity
Organization
Contact information
Practice address
5315 TROUBLE CREEK RD, NEW PORT RICHEY, FL 34652-4949
(352) 584-2232
Mailing address
PO BOX 264, NEW PORT RICHEY, FL 34656-0264
(352) 584-2232
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY5554
FL
Other
Enumeration date
07/30/2009
Last updated
07/30/2009
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