Individual
LISA CICETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.,L.M.H.C.
Contact information
Practice address
2500 QUANTUM LAKES DR STE 203, BOYNTON BEACH, FL 33426-8323
(561) 502-1992
Mailing address
125 NEPTUNE DR, HYPOLUXO, FL 33462-6019
(561) 734-6118
(561) 369-3275
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH 6095
FL
103G00000X
Clinical Neuropsychologist
Primary
PY 7715
FL
103T00000X
Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
PY 7715
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
684466996
—
FL
Enumeration date
07/22/2008
Last updated
01/20/2023
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