| Provider / Organization | NPI | Date Certified |
|---|---|---|
| LISA J CORDERO | 1740889294 | 2020-10-25 |
Lisa J Cordero is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1740889294. Registration indicates Lisa J Cordero is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Mental Health, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Mental Health, Behavioral Health & Social Service Providers) (Counselor, )
| Entity Type | Individual |
| Provider Name | Lisa J Cordero PSY.D, LMHC, LPC |
| Practice Office Address | 12700 TROTTER BLVD DAVIE, FL US |
| Practice Office Telephone | 3055280461 |
| Mailing Address | 12700 TROTTER BLVD DAVIE, FL 333304311 US |
| Business Telephone | 3055280461 |
| Code | Practice | License No State |
|---|---|---|
| 101YM0800X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Mental Health Behavioral Health/Substance Abuse/Psychiatry Counselor Mental Health Behavioral Health & Social Service Providers Counselor | MH1009
FL |