| Sassoon Psychological Services Pa | |
|
2009 Se Oxton Dr Port Saint Lucie FL 34952-6066 | |
| (305) 933-9362 | |
| Not Available |
| Full Name | Sassoon Psychological Services Pa |
|---|---|
| Speciality | Psychologist |
| Location | 2009 Se Oxton Dr, Port Saint Lucie, Florida |
| Authorized Official Name and Position | Claude Sassoon (PRESIDENT) |
| Authorized Official Contact | 3059339362 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sassoon Psychological Services Pa 2009 Se Oxton Dr Port Saint Lucie FL 34952-6066 Ph: (305) 933-9362 | Sassoon Psychological Services Pa 2009 Se Oxton Dr Port Saint Lucie FL 34952-6066 Ph: (305) 933-9362 |
| NPI Number | 1154457695 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 04/13/2020 |
| Certification Date | 04/13/2020 |
| Medicare PECOS PAC ID | 1759308646 |
|---|---|
| Medicare Enrollment ID | O20051031000224 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154457695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY6350 (Florida) | Primary |
| Provider Name | Claude Sassoon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568655066 PECOS PAC ID: 9830116722 Enrollment ID: I20051101000243 |
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