Individual
MRS. LISSETTE LLANES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2201 NE 170TH ST, NORTH MIAMI BEACH, FL 33160-3705
(561) 790-1191
Mailing address
7620 BEACHVIEW DR, NORTH BAY VILLAGE, FL 33141-4008
(786) 797-4630
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY6182
FL
Other
Enumeration date
11/29/2010
Last updated
07/02/2019
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