Provider Demographics
NPI:1528101920
Name:SCHETTINO, LYNNE (MED, PHD)
Entity type:Individual
Prefix:DR
First Name:LYNNE
Middle Name:
Last Name:SCHETTINO
Suffix:
Gender:F
Credentials:MED, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10830 SW 113TH PL STE A
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-3227
Mailing Address - Country:US
Mailing Address - Phone:305-275-0007
Mailing Address - Fax:305-275-1388
Practice Address - Street 1:10830 SW 113TH PL STE A
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-3227
Practice Address - Country:US
Practice Address - Phone:305-275-0007
Practice Address - Fax:305-275-1388
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY0004645103TC0700X
FLMFT000684106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist