Individual
DR. IDA ZEKTICK ZACK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
217 KNOWLES ST, ROYAL OAK, MI 48067-2767
(248) 539-3634
(248) 546-5090
Mailing address
6352 PEPPER HILL ST, WEST BLOOMFIELD, MI 48322-2303
(248) 539-3634
(248) 546-5090
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301001930
MI
Other
Enumeration date
06/18/2006
Last updated
07/08/2007
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