LICA SERT NPI 1669920849

NPI Information

NPI: 1669920849
Provider Name: LICA SERT
Classification: Specialist/Technologist, Other - 246ZE0500X
Entity Type: Individual

Specialization: EEG

Address:
806 S 56TH AVE STE 1B
PHOENIX, AZ
ZIP 85043
Phone: (602) 429-0447
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Lica Sert is an eeg specialist technologist other in Phoenix, AZ. Lica Sert NPI is 1669920849. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

806 S 56TH AVE STE 1B
PHOENIX, AZ
ZIP 85043-630
Phone: (602) 429-0447

The enumeration date for this NPI number is 9/15/2016 and was last updated on 6/7/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	246ZE0500X	Specialist/Technologist, Other	EEG	Yes
2	171400000X	Health and Wellness Coach		No
3	103K00000X	Behavior Analyst		No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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