Healthcare Provider Details

I. General information

NPI: 1407270556
Provider Name (Legal Business Name): KIMBERLEE J. SASS, PH.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2014
Last Update Date: 02/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

291 WHITNEY AVE SUITE 402
NEW HAVEN CT
06511-3724
US

IV. Provider business mailing address

1040 MOUNT CARMEL AVE
HAMDEN CT
06518-1608
US

V. Phone/Fax

Practice location:
  • Phone: 203-281-3060
  • Fax: 866-596-7112
Mailing address:
  • Phone: 203-281-3060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License NumberCT01234
License Number StateCT

VIII. Authorized Official

Name: DR. KIMBERLEE SASS
Title or Position: NEUROPSYCHOLOGIST
Credential: PH.D.
Phone: 203-281-3060