| Lisa Cicetti Psy D Lmhc Inc | |
|
2500 Quantum Lakes Dr Ste 203 Boynton Beach FL 33426-8323 | |
| (561) 734-6118 | |
| (561) 369-3275 |
| Full Name | Lisa Cicetti Psy D Lmhc Inc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 2500 Quantum Lakes Dr Ste 203, Boynton Beach, Florida |
| Authorized Official Name and Position | Lisa Cicetti (OWNER) |
| Authorized Official Contact | 5617346118 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Cicetti Psy D Lmhc Inc 125 Neptune Dr Hypoluxo FL 33462-6019 Ph: (561) 734-6118 | Lisa Cicetti Psy D Lmhc Inc 2500 Quantum Lakes Dr Ste 203 Boynton Beach FL 33426-8323 Ph: (561) 734-6118 |
| NPI Number | 1215124847 |
|---|---|
| Provider Enumeration Date | 09/27/2007 |
| Last Update Date | 01/20/2023 |
| Certification Date | 01/20/2023 |
| Medicare PECOS PAC ID | 7719055789 |
|---|---|
| Medicare Enrollment ID | O20081003000181 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215124847 | NPI | - | NPPES |
| 684466996 | Medicaid | FL | |
| 688845379 | Medicaid | FL | |
| 684499998 | Medicaid | FL | |
| 688845302 | Medicaid | FL |
| Provider Name | Annicol Dorthee Marrocco |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699747642 PECOS PAC ID: 2163417288 Enrollment ID: I20041210000784 |
| Provider Name | Lisa Cicetti |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316102114 PECOS PAC ID: 0446328512 Enrollment ID: I20081003000177 |
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