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Contact Information

ALAN ICKOWITZ, PSY.D., P.A.
6105 MEMORIAL HWY
STE B
TAMPA, FL33615-4597
 Phone: 813-814-9839
 Fax: 813-200-1044
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ALAN ICKOWITZ PSYD PA · (Female)

NPI # 1861510091
Status Active
Credentials
Entity Individual
Enumeration date 03/26/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # PY5649
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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