Individual
REBECCA IVICIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
220 ROUTE 6, MAHOPAC, NY 10541-3850
(914) 246-8884
Mailing address
220 ROUTE 6, MAHOPAC, NY 10541-3850
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
022424
NY
Other
Enumeration date
01/23/2026
Last updated
01/23/2026
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