Individual
DR. STEPHEN EDWARD NASSAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD, LCSW
Contact information
Practice address
3684 N WICKHAM RD, SUITE B, MELBOURNE, FL 32935-2328
(321) 751-3636
(321) 751-8108
Mailing address
3684 N WICKHAM RD, SUITE B, MELBOURNE, FL 32935-2328
(321) 751-3636
(321) 751-8108
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY6228
FL
1041C0700X
Clinical Social Worker
SW3802
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134222541
TRICARE PROVIDER NUMBER
FL
01
—
54815
BCBS PROVIDER NUMBER
FL
Enumeration date
07/17/2006
Last updated
10/17/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us