Individual
TIMOTHY D. VANSICKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
7171 N UNIVERSITY DR, #300, TAMARAC, FL 33321-2902
(954) 720-3188
(954) 722-6996
Mailing address
7154 N UNIVERSITY DR, #316, TAMARAC, FL 33321-2916
(954) 720-3188
(954) 722-6996
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY5972
FL
Other
Enumeration date
06/06/2006
Last updated
07/08/2007
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