Organization
LISA CICETTI PSYD.,LMHC.,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERONICA HERNANDEZ (DIRECTOR OF BILLING)
(954) 203-3584
Entity
Organization
Contact information
Practice address
900 OSCEOLA DR, WEST PALM BEACH, FL 33409-5000
(561) 530-7489
Mailing address
1111 HYPOLUXO RD, 207, LANTANA, FL 33462-4271
(561) 530-7489
(954) 856-2904
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PY7715
FL
103T00000X
Psychologist
Primary
PY7715
FL
2084P0800X
Psychiatry Physician
ME0075481
FL
Other
Enumeration date
03/03/2017
Last updated
03/03/2017
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