Organization
LISA BOTTICELLI, PH.D. PSYCHOLOGY, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA MARIE BOTTICELLI PH.D. (OPERATING MANAGER)
(203) 451-3100
Entity
Organization
Contact information
Practice address
70 MIDDAGH ST # 2A, BROOKLYN, NY 11201-1384
(203) 451-3100
Mailing address
1214 5TH AVE APT 32C, NEW YORK, NY 10029-5250
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
03/06/2023
Last updated
05/10/2024
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