MEDICARE: DR. LYNNE SCHETTINO M.ED., PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	PY0004645	FL
2	106H00000X	Marriage & Family Therapist	MFT000684	FL

General Provider Information

NPI Number	:	1528101920
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LYNNE SCHETTINO M.ED., PH.D.

Provider Business Mailing Address
First Line	:	10830 SW 113TH PL STE A
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33176-3227
Country	:	US
Telephone Number	:	305-275-0007
Fax Number	:	305-275-1388

Provider Business Practice Location Address
First Line	:	10830 SW 113TH PL STE A
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33176-3227
Country	:	US
Telephone Number	:	305-275-0007
Fax Number	:	305-275-1388

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/15/2007
Last Update Date	:	09/11/2025

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