Healthcare Provider Details

I. General information

NPI: 1952291163
Provider Name (Legal Business Name): LUCY MORISSET SLPA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2025
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1499 W PALMETTO PARK RD STE 212
BOCA RATON FL
33486-3322
US

IV. Provider business mailing address

90 CITRUS PARK LN
BOYNTON BEACH FL
33436-1854
US

V. Phone/Fax

Practice location:
  • Phone: 561-494-4499
  • Fax:
Mailing address:
  • Phone: 561-628-9109
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License NumberSI7900
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: