| Lisa Faraldo Phd Pa | |
|
480 Se 1st Ave Pompano Beach FL 33060-7104 | |
| (954) 784-8866 | |
| Not Available |
| Full Name | Lisa Faraldo Phd Pa |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 480 Se 1st Ave, Pompano Beach, Florida |
| Authorized Official Name and Position | Lisa Faraldo (PRESIDENT) |
| Authorized Official Contact | 9547848866 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Faraldo Phd Pa 480 Se 1st Ave Pompano Beach FL 33060-7104 Ph: (954) 784-8866 | Lisa Faraldo Phd Pa 480 Se 1st Ave Pompano Beach FL 33060-7104 Ph: (954) 784-8866 |
| NPI Number | 1457686453 |
|---|---|
| Provider Enumeration Date | 10/08/2009 |
| Last Update Date | 10/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457686453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (Florida) | Primary |
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