Provider Demographics
NPI:1598790016
Name:PRESCITI, FREDERICK WALTER (MA LMHC CAP)
Entity Type:Individual
Prefix:MR
First Name:FREDERICK
Middle Name:WALTER
Last Name:PRESCITI
Suffix:
Gender:M
Credentials:MA LMHC CAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10332 150TH CT N
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33478-6852
Mailing Address - Country:US
Mailing Address - Phone:561-575-9790
Mailing Address - Fax:561-969-1241
Practice Address - Street 1:2562 W INDIANTOWN RD
Practice Address - Street 2:SUITE B-1
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-3936
Practice Address - Country:US
Practice Address - Phone:561-575-9990
Practice Address - Fax:561-575-9029
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL004310101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health