DR. LISSETTE LAZARA PENA PSY D., LMHC - NPI 1669786844

Q: What is Lissette Pena's NPI number?

The NPI number for Lissette Pena is 1669786844. It was assigned to this individual provider in the NPPES registry on July 30, 2010.

Q: What is Lissette Pena's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Lissette Pena was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Dr. Lissette Lazara Pena Psy D., Lmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LISSETTE LAZARA PENA PSY D., LMHC (NPI 1669786844) is an individual clinical provider in Hialeah, Florida, licensed in Florida (PY9993) and active in the NPI registry since July 2010. She maintains a secondary practice location in Miami.

NPPES Registry Identity

NPI1669786844

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. LISSETTE LAZARA PENACredential: PSY D., LMHC

Location Address4175 W 20TH AVEHialeah, FL 33012-5874

Mailing Address4175 W 20th AveHialeah, FL 33012-5874 · (786) 441-5362

Phone(786) 441-5362

Sole ProprietorNo

Enumeration DateJuly 30, 2010

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1669786844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in FL · PY9993

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License MH9478 (FL)

4175 W 20TH AVE, Hialeah, FL 33012

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Secondary Practice Location 1

Location 110631 N Kendall Dr, Suite 155Miami, FL 33176-1568 · Phone (786) 735-2005 · Fax (786) 735-3418

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VANESSA RAMIREZ PSYD

Psychologist