| Doctor Name: | DR. CAROLYN SASANO |
| NPI Number: | 1578701074 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | 31664 |
| Business Practice Address: | 104 Maverick St # B Aledo, TX - 760084450 |
| Business Phone Number: | 8177711722 |
| Business Fax Number: | 8888486827 |
| Mailing Address: | Po Box 1206, ALEDO |
| State: | TX |
| Postal Code: | 760081206 |
| Phone Number: | 8177711722 |
| Fax Number: | 8888486827 |
| NPI Enumeration Date: | 01/22/2009 |
| NPI Last Update Date: | 06/19/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TS0200X |
| License Number: | 31664 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |