Organization
THE NEUROFORENSIC INSTITUTE AND THERAPEUTIC SERVICES INC.
Active
Organization
THE NEUROFORENSIC INSTITUTE AND THERAPEUTIC SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA CICETTI (PRESIDENT)
(561) 734-6118
Entity
Organization
Contact information
Practice address
8198 JOG RD, SUITE 201, BOYNTON BEACH, FL 33472-2900
(561) 734-6118
(561) 963-3532
Mailing address
8198 JOG RD, SUITE 201, BOYNTON BEACH, FL 33472-2900
(561) 734-6118
(561) 963-3532
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY7715
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
472026
—
FL
Enumeration date
08/31/2010
Last updated
08/31/2010
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