Organization
NEURORECOVERY INC
Active
Organization
NEURORECOVERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA CICETTI PSYD., LMHC (OWNER)
(561) 734-6118
Entity
Organization
Contact information
Practice address
1101 N CONGRESS AVE STE 208, BOYNTON BEACH, FL 33426-3336
(561) 734-6118
(561) 369-3275
Mailing address
1101 N CONGRESS AVE STE 208, BOYNTON BEACH, FL 33426-3336
(561) 734-6118
(561) 369-3275
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY7715
FL
103T00000X
Psychologist
PY7715
FL
Other
Enumeration date
12/22/2014
Last updated
12/22/2014
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