| Richard J Sassatelli Inc | |
|
104 Medical Center Ave Sebring FL 33870-5422 | |
| (863) 314-0622 | |
| (863) 314-9640 |
| Full Name | Richard J Sassatelli Inc |
|---|---|
| Speciality | Psychologist |
| Location | 104 Medical Center Ave, Sebring, Florida |
| Authorized Official Name and Position | Richard J Sassatelli (PRESIDENT, CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8633140622 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard J Sassatelli Inc 104 Medical Center Ave Sebring FL 33870-5422 Ph: (863) 314-0622 | Richard J Sassatelli Inc 104 Medical Center Ave Sebring FL 33870-5422 Ph: (863) 314-0622 |
| NPI Number | 1053532028 |
|---|---|
| Provider Enumeration Date | 05/01/2007 |
| Last Update Date | 05/07/2014 |
| Medicare PECOS PAC ID | 9830287481 |
|---|---|
| Medicare Enrollment ID | O20071114000480 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053532028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY5361 (Florida) | Primary |
| Provider Name | Richard J Sassatelli |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083769897 PECOS PAC ID: 5698862894 Enrollment ID: I20071105000516 |
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