Lisa Cicetti Psy D Lmhc Inc
Clinical Neuropsychologist in Boynton Beach, FL(View on Map)
Legal Business Name
Lisa Cicetti Psy D Lmhc Inc
NPI Number
1215124847
NPI Type
Organization
Enumeration Date
09/27/2007
Specialties
(Taxonomies)Name
Code
103G00000X
291U00000X
1041C0700X
251S00000X
253Z00000X
101YM0800X
103T00000X
Primary Taxonomy
Yes
No
No
No
No
No
No
Licenses
State
Florida
Florida
Florida
License Number
PY7715
MH 6095
PY 7715
Contact
Information
Purpose
Mailing
Location
Address
125 NEPTUNE DR
2500 QUANTUM LAKES DR STE 203
City
Hypoluxo
Boynton Beach
State
FL
FL
Postal Code
33462-6019
33426-8323
Country
US
US
Telephone Number
(561) 734-6118
(561) 734-6118
Authorized Official
Name
Dr. Lisa Cicetti
Title or Position
OWNER
Telephone Number
(561) 734-6118
Identifiers
Identifier
684466996
688845379
684499998
688845302
Identifier State
FL
FL
FL
FL
Identifier Issuer
Unknown
Unknown
Unknown
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 01/20/2023
Provider Address
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