Individual
DR. REBECCA JOYCE CICHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1 SISKIN PLZ, CHATTANOOGA, TN 37403-1306
(423) 634-1200
Mailing address
1411 COSTA MESA DR, WESLEY CHAPEL, FL 33543-6788
(701) 740-7936
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PSY.0004191
CO
103T00000X
Psychologist
PSY.0004191
CO
103TR0400X
Rehabilitation Psychologist
Primary
PSY.0004191
CO
Other
Enumeration date
08/10/2015
Last updated
08/10/2015
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