Organization
CHARLES ASSAD, PH.D.
Active
Other names
Cape Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES ASSAD PH.D. (SOLE PROPRIETOR)
(239) 772-3488
Entity
Organization
Contact information
Practice address
1202 SE 8TH PL, UNIT C, CAPE CORAL, FL 33990-2113
(239) 772-3488
(239) 772-3688
Mailing address
1202 SE 8TH PL, UNIT C, CAPE CORAL, FL 33990-2113
(239) 772-3488
(239) 772-3688
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY 7446
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AH 796
MEDICARE PTAN
FL
Enumeration date
04/30/2013
Last updated
05/01/2013
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