Provider Demographics
NPI:1093841694
Name:LOZZI-TOSCANO, BETTINA MARILU (PHD, LMHC)
Entity Type:Individual
Prefix:DR
First Name:BETTINA
Middle Name:MARILU
Last Name:LOZZI-TOSCANO
Suffix:
Gender:F
Credentials:PHD, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3785 NW 82ND AVE
Mailing Address - Street 2:STE 310
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6655
Mailing Address - Country:US
Mailing Address - Phone:305-470-7580
Mailing Address - Fax:305-971-7999
Practice Address - Street 1:3625 NW 82ND AVE
Practice Address - Street 2:STE 400
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166
Practice Address - Country:US
Practice Address - Phone:305-814-2890
Practice Address - Fax:305-971-7999
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH7008101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL764298900Medicaid