Ida Zektick Zack Phd Pllc | |
217 Knowles St Suite 100 Royal Oak MI 48067-2767 | |
(248) 546-6711 | |
(248) 546-5090 |
Full Name | Ida Zektick Zack Phd Pllc |
---|---|
Speciality | Psychologist - Clinical |
Location | 217 Knowles St, Royal Oak, Michigan |
Authorized Official Name and Position | Ida Zack (PSYCHOLOGIST) |
Authorized Official Contact | 2485466711 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ida Zektick Zack Phd Pllc 217 Knowles St Suite 100 Royal Oak MI 48067-2767 Ph: (248) 546-6711 | Ida Zektick Zack Phd Pllc 217 Knowles St Suite 100 Royal Oak MI 48067-2767 Ph: (248) 546-6711 |
NPI Number | 1124348362 |
---|---|
Provider Enumeration Date | 06/10/2010 |
Last Update Date | 10/20/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124348362 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 6301001930 (Michigan) | Primary |
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