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NPI Code Detail

MEDICARE: DR. DEL SASSO PSY.D.

MEDICARE: DR. DEL SASSO PSY.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist35SI00522700NJ

General Provider Information

NPI Number : 1508148073
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DEL SASSO PSY.D.
Provider Business Mailing Address
First Line : 328 DENISON ST
Second Line :
City : HIGHLAND PARK
State : NJ
Zip : 08904-2732
Country : US
Telephone Number : 732-789-3242
Fax Number :
Provider Business Practice Location Address
First Line : 328 DENISON ST
Second Line :
City : HIGHLAND PARK
State : NJ
Zip : 08904-2732
Country : US
Telephone Number : 732-789-3242
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2011
Last Update Date : 02/15/2025

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