Tickal, Jennifer

Tickal, Jennifer is an individual health care provider with primary practice located at 1555 N Maitland Ave , Maitland FL 32751-3325. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Tickal, Jennifer can be contacted via phone (813) 563-5676.

Contact Information

Primary practice address
1555 N Maitland Ave Maitland FL 32751-3325
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY 8723 Florida

Profile Details

NPI number 1073823266
LBN Legal business name Tickal, Jennifer
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2010
Last updated Jan 18th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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