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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, PSY.D., P.A.

NPI # 1861510091
LBN Legal business name ALAN ICKOWITZ, PSY.D., P.A.
Authorized official ALAN ICKOWITZ - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/26/2007
Last updated 09/11/2025 - About 9 months ago
Identifiers
FL License # PY5649
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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