Individual
DR. KIMBERLY LACIVITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D. P.A.
Contact information
Practice address
7345 INTERNATIONAL PL STE 109, LAKEWOOD RANCH, FL 34240-8468
(941) 702-9978
(941) 203-4822
Mailing address
2073 SANDRALA DR, SARASOTA, FL 34231-3425
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
SS1610
FL
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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