=====================================================
General NPI Number Information
=====================================================
NPI Number | 1013329309
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ROBIN G. TASSLER
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/21/2014
-----------------------------------------------------
Last Update Date | 05/29/2014
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10621 N KENDALL DR SUITE 200
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33176-8708
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-969-9016
-----------------------------------------------------
Fax | 305-971-0701
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10621 N KENDALL DR SUITE 200
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33176-8708
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-969-9016
-----------------------------------------------------
Fax | 305-971-0701
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | LICENSED MARRIAGE& FAMILY THERAPIST
-----------------------------------------------------
Name | MS. ROBIN GAIL TASSLER
-----------------------------------------------------
Credential | L.M.F.T
-----------------------------------------------------
Telephone | 305-969-9016
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number | MT1757
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------