Sassatelli, Richard J
Sassatelli, Richard J is an sole proprietor health care provider with primary practice located at 104 Medical Center Avenue , Sebring FL 33870-5473. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Sassatelli, Richard J can be contacted via phone (863) 314-0622.Contact Information
Primary practice address
104 Medical Center Avenue
Sebring FL 33870-5473
Phone: (863) 314-0622
Fax: (863) 314-9640
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY5361 | Florida |
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PY5361 | Florida |
Profile Details
NPI number | 1083769897 |
---|---|
LBN Legal business name | Sassatelli, Richard J |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 24th, 2007 |
Last updated | Apr 4th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1083769897 | NPPES |
Florida | Other | 59849 | BCBS OF FLORIDA |
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