Organization
LISA SAPONARO PHD INC
Active
Other names
Center for Psychological Growth and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
LISA SAPONARO PHD (OWNER)
(954) 560-9567
Entity
Organization
Contact information
Practice address
7820 PETERS RD STE E100, PLANTATION, FL 33324-4019
(954) 577-0095
(954) 423-0901
Mailing address
1469 NW 129TH WAY, SUNRISE, FL 33323-2984
(954) 560-9567
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
103TS0200X
School Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
05/16/2008
Last updated
02/17/2025
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