| Doctor Name: | DR. NANCY SASSE SASSER |
| NPI Number: | 1073748950 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ED.D. |
| License Number: | 686 |
| Business Practice Address: | 1060 Showalter Rd Moscow, ID - 838439199 |
| Business Phone Number: | 2083010918 |
| Business Fax Number: | 2088821490 |
| Mailing Address: | 1060 Showalter Rd, MOSCOW |
| State: | ID |
| Postal Code: | 838439199 |
| Phone Number: | 2083010918 |
| Fax Number: | 2088821490 |
| NPI Enumeration Date: | 05/21/2009 |
| NPI Last Update Date: | 05/21/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | 686 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |