Alan Ickowitz, Psy.D., P.A.

LBN: Alan Ickowitz, Psy.D., P.A.
Alan Ickowitz, Psy.D., P.A. is an health care organization with primary practice located at 6105 Memorial Hwy Ste B, Tampa FL 33615-4597. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty. Alan Ickowitz, Psy.D., P.A. can be contacted via phone (813) 814-9839, or through Ickowitz, Alan Y via phone (813) 814-9839.

Contact Information

Primary practice address
6105 Memorial Hwy Ste B Tampa FL 33615-4597
Phone: (813) 814-9839
Fax: (813) 200-1044
Website:
Map and Directions
Authorized official contact:
Name: Ickowitz, Alan Y PSY.D.
Phone: (813) 814-9839

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY5649 Florida
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X PY5649 Florida
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY5649 Florida

Profile Details

NPI number 1861510091
LBN Legal business name Alan Ickowitz, Psy.D., P.A.
DBA Doing business as
Authorized official Ickowitz, Alan Y PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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