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NPI Code Detail

MEDICARE: DR. GABRIELA FECIK OTT PSY.D.

MEDICARE:  DR. GABRIELA FECIK OTT  PSY.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical PsychologistPY7273FL

General Provider Information

NPI Number : 1437180825
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GABRIELA FECIK OTT PSY.D.
Provider Business Mailing Address
First Line : 3805 BISCAYNE DR
Second Line :
City : WINTER SPRINGS
State : FL
Zip : 32708-4628
Country : US
Telephone Number : 321-604-7024
Fax Number :
Provider Business Practice Location Address
First Line : 830 29TH ST
Second Line :
City : ORLANDO
State : FL
Zip : 32805-6201
Country : US
Telephone Number : 321-604-7024
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2006
Last Update Date : 07/08/2007

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Directions to “ DR. GABRIELA FECIK OTT PSY.D.” Practice Location

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