Doctor Name: | MR. BRIAN MICHAEL SASSO |
NPI Number: | 1003914649 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA |
License Number: | 7714 |
Business Practice Address: | 175 Derby St Ste 16 Brian Sasso/ Levin & Zangrillo Hingham, MA - 020434047 |
Business Phone Number: | 7817401546 |
Business Fax Number: | |
Mailing Address: | 135 Sohier St, COHASSET |
State: | MA |
Postal Code: | 020251377 |
Phone Number: | 7813839691 |
Fax Number: | |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 08/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 7714 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |