| 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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