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NPI Code Detail

MEDICARE: DR. ROBERT D ASSAEL PHD

MEDICARE:  DR. ROBERT D ASSAEL  PHD
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 PsychologistPY0004585FL

General Provider Information

NPI Number : 1215042502
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT D ASSAEL PHD
Provider Business Mailing Address
First Line : 1132 W CYPRESS DR
Second Line : V-17
City : POMPANO BEACH
State : FL
Zip : 33069-4107
Country : US
Telephone Number : 954-979-8501
Fax Number : 954-979-8502
Provider Business Practice Location Address
First Line : 6750 N ANDREWS AVE
Second Line : SUITE 200 - CYPRESS PARK WEST
City : FORT LAUDERDALE
State : FL
Zip : 33309-2173
Country : US
Telephone Number : 954-979-8501
Fax Number : 954-979-8502
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2006
Last Update Date : 10/20/2012

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Directions to “ DR. ROBERT D ASSAEL PHD” Practice Location

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