Organization
NEURO-DIAGNOSTIX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA CICETTI PSY., D. LMHC (OWNER)
(561) 734-6118
Entity
Organization
Contact information
Practice address
555 HERITAGE DRIVE STE 110, JUPITER, FL 33458
(561) 734-6118
Mailing address
1101 N CONGRESS AVE STE 208, BOYNTON BEACH, FL 33426
(561) 734-6118
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
PY7715
FL
Other
Enumeration date
01/23/2015
Last updated
01/23/2015
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