Ida Zektick Zack Phd Pllc

NPI 1124348362 - Psychologist - 103TC0700X

NPI Details
NPI 1124348362
Enumeration Date 06/10/2010
Last Updated 10/20/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name IDA IDA
Position PSYCHOLOGIST
Phone (248) 546-6711
Fax (248) 546-5090
Practice Location
217 KNOWLES ST
SUITE 100
ROYAL OAK MI, 48067-2767, US
Phone (248) 546-6711
Fax (248) 546-5090
Business Location
217 KNOWLES ST
SUITE 100
ROYAL OAK MI, 48067-2767, US
Phone (248) 546-6711
Fax (248) 546-5090
Toxanomy
Taxonomy Code 103TC0700X
License State Michigan
License Number 6301001930
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According to our database, Ida Zektick Zack Phd Pllc NPI is 1124348362, taxonomy code is 103TC0700X and license number is 6301001930, license state is located at Michigan. Ida Zektick Zack Phd Pllc physically located at 217 Knowles St, Royal Oak MI, 48067-2767. NPI Number 1033115704 has the healthcare provider type.

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1124348362 NPI number is provided on an as is basis without warranty of any kind. 1124348362 is maintained by the National Plan & Provider Enumeration System. The contents of Ida Zektick Zack Phd Pllc are for informational purposes only.