Lica Sert
Specialist/Technologist, Other, EEG in Phoenix, AZ. Individual provider (NPI-1).
NPI number1669920849
StatusActive
Last updated in NPPESJun 7, 2022
Details
- NPI
- 1669920849
- Entity type
- Individual (NPI-1)
- Name
- Lica Sert
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 15, 2016
- Certification date
- May 30, 2022
- Last updated
- Jun 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246ZE0500X | Specialist/Technologist, Other, EEG | – | – | Yes |
| 171400000X | Health & Wellness Coach | – | – | |
| 103K00000X | Behavior Analyst | – | – |
Practice location
806 S 56th Ave Ste 1bPhoenix, AZ 85043-4630
Phone 602-429-0447
Mailing address
806 S 56th Ave Ste 1bPhoenix, AZ 85043-4630
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