Healthcare Provider Details

I. General information

NPI: 1477769859
Provider Name (Legal Business Name): WASSERMAN AND DRUCKER PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21301 POWERLINE RD SUITE 201
BOCA RATON FL
33433-2388
US

IV. Provider business mailing address

21301 POWERLINE RD SUITE 201
BOCA RATON FL
33433-2388
US

V. Phone/Fax

Practice location:
  • Phone: 561-451-8408
  • Fax: 561-451-8655
Mailing address:
  • Phone: 561-451-8408
  • Fax: 561-451-8655

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License NumberPY - 0003977
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPY - 0003977
License Number StateFL

VIII. Authorized Official

Name: DR. THEODORE WASSERMAN
Title or Position: OWNER PSYCHOLOGIST
Credential: PHD
Phone: 561-451-8408