Provider Demographics
NPI:1447085519
Name:PICARDI, ALLIE (PSYD)
Entity type:Individual
Prefix:DR
First Name:ALLIE
Middle Name:
Last Name:PICARDI
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4344 HOOKS RD APT 516
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-3704
Mailing Address - Country:US
Mailing Address - Phone:561-596-3290
Mailing Address - Fax:
Practice Address - Street 1:6803 LAKE WORTH RD STE 215
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33467-2979
Practice Address - Country:US
Practice Address - Phone:561-207-7625
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-06
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY12461103TC2200X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent