Individual
LISETTE D. RESTREPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY. S., LSP, NCSP
Contact information
Practice address
4812 SW 74TH CT # 3, MIAMI, FL 33155-4448
(786) 255-3752
Mailing address
4812 SW 74TH CT # 3, MIAMI, FL 33155-4448
(786) 255-3752
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
SS1246
FL
103TS0200X
School Psychologist
SS1246
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018914800
—
FL
01
—
13878294
CAQH
FL
Enumeration date
08/18/2016
Last updated
10/01/2025
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