Healthcare Provider Details

I. General information

NPI: 1558542977
Provider Name (Legal Business Name): DONNA CHRISTINA CIPRIANI PH.D.,L.M.H.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/14/2007
Last Update Date: 11/14/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5510 P G A BLVD
PALM BEACH GARDENS FL
33418-3980
US

IV. Provider business mailing address

315 TIMBERWOOD CT
PALM BEACH GARDENS FL
33418-3596
US

V. Phone/Fax

Practice location:
  • Phone: 561-315-3364
  • Fax: 561-624-3834
Mailing address:
  • Phone: 561-315-3364
  • Fax: 561-624-3834

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH5099
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: