Individual
DR. LISA MARIE BOTTICELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
320 CENTRAL AVE UNIT 311, SARASOTA, FL 34236-5130
(203) 451-3100
Mailing address
320 CENTRAL AVE UNIT 311, SARASOTA, FL 34236-5130
(203) 451-3100
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
025315
NY
103TC0700X
Clinical Psychologist
4503
CT
Other
Enumeration date
09/02/2021
Last updated
07/18/2024
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