| Lisa Saponaro Phd Inc | |
|
2 S University Dr Suite 304 Plantation FL 33324-3355 | |
| (954) 560-9567 | |
| Not Available |
| Full Name | Lisa Saponaro Phd Inc |
|---|---|
| Speciality | Psychologist |
| Location | 2 S University Dr, Plantation, Florida |
| Authorized Official Name and Position | Lisa Saponaro (OWNER) |
| Authorized Official Contact | 9545609567 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Saponaro Phd Inc 1469 Nw 129th Way Sunrise FL 33323-2984 Ph: (954) 560-9567 | Lisa Saponaro Phd Inc 2 S University Dr Suite 304 Plantation FL 33324-3355 Ph: (954) 560-9567 |
| NPI Number | 1780841908 |
|---|---|
| Provider Enumeration Date | 05/16/2008 |
| Last Update Date | 05/16/2008 |
| Medicare PECOS PAC ID | 1658442173 |
|---|---|
| Medicare Enrollment ID | O20080611000198 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780841908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | PY7494 (Florida) | Primary |
| Provider Name | Lisa Saponaro |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750594602 PECOS PAC ID: 8123197225 Enrollment ID: I20080515000254 |
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