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General NPI Number Information
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NPI Number | 1346734951
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Entity Type | Individual
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Provider Name | HEATHER SASSMAN PHD
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Gender | Female
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Dates
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Enumeration Date | 06/18/2018
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 144 LINCOLN PLACE CT STE 3
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City | BELLEVILLE
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State | IL
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Zip | 62221-5878
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Country | US
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Telephone | 618-671-9283
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Fax |
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Provider Business Mailing Address
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Address Line | 144 LINCOLN PLACE CT STE 3
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City | BELLEVILLE
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State | IL
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Zip | 62221-5878
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Country | US
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Telephone | 618-671-9283
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 06219
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2021036324
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 071021005
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License Number State | IL
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