Individual
RICHARD J SASSATELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
104 MEDICAL CENTER AVENUE, SEBRING, FL 33870-5473
(863) 314-0622
(863) 314-9640
Mailing address
104 MEDICAL CENTER AVE, SEBRING, FL 33870-5422
(863) 314-0622
(863) 314-9640
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY5361
FL
103TC0700X
Clinical Psychologist
PY5361
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59849
BCBS OF FLORIDA
FL
Enumeration date
01/24/2007
Last updated
04/04/2019
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