NPI | 1053532028 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD J SASSATELLI President, Clinical Psychologist 863-314-0622 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY5361) |
Enumeration Date | 2007-05-01 |
Last Update Date | 2014-05-07 |