| Organization Name: | RICHARD J SASSATELLI INC |
| NPI Number: | 1053532028 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICHARD J SASSATELLI (PRESIDENT, CLINICAL PSYCHOLOGIST) |
| Mailing Address: | 104 Medical Center Ave Sebring |
| State: | FL US |
| Postal Code: | 338705422 |
| Phone Number: | 8633140622 |
| Fax Number: | 8633149640 |
| NPI Enumeration Date: | 05/01/2007 |
| NPI Last Update Date: | 05/07/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PY5361 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |