Cicetti, Lisa

Cicetti, Lisa is an sole proprietor health care provider with primary practice located at 2500 Quantum Lakes Dr Ste 203 , Boynton Beach FL 33426-8323. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Cicetti, Lisa can be contacted via phone (561) 502-1992.

Contact Information

Primary practice address
2500 Quantum Lakes Dr Ste 203 Boynton Beach FL 33426-8323
Phone: (561) 502-1992
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH 6095 Florida
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X PY 7715 Florida
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PY 7715 Florida

Profile Details

NPI number 1316102114
LBN Legal business name Cicetti, Lisa
Credentials PSY.D.,L.M.H.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 22nd, 2008
Last updated Jan 20th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316102114 NPPES
Florida MEDICAID 684466996

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