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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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