Healthcare Provider Details

I. General information

NPI: 1548394869
Provider Name (Legal Business Name): SCHETTINO & ASSOCIATES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2007
Last Update Date: 03/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10830 SW 113TH PL SUITE A
MIAMI FL
33176-3227
US

IV. Provider business mailing address

10830 SW 113TH PL SUITE A
MIAMI FL
33176-3227
US

V. Phone/Fax

Practice location:
  • Phone: 305-275-0007
  • Fax:
Mailing address:
  • Phone: 305-275-0007
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: LYNNE SCHETTINO
Title or Position: PRESIDENT
Credential:
Phone: 305-275-0007