Sandra Deris Atassi is a Clinical in Doral, Florida. Sandra Deris Atassi practices all healthcare services and medical treatments related to Clinical. The NPI Number for Sandra Deris Atassi is 1417154055. The last update date is 2022-03-07.
Sandra Deris Atassi's current location address is 6108 Nw 113th Pl, Doral, Florida. You can contact this provider via phone number 3052132842 and fax number 3055970119. The mailing address for Sandra Deris Atassi is 6108 Nw 113th Pl, Doral, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sandra Deris Atassi |
|---|---|
| Address | 6108 Nw 113th Pl, Doral, Florida |
| Phone Number | 3052132842 |
| Fax Number | 3055970119 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1417154055 |
|---|---|
| Provider Enumeration Date | 2007-06-28 |
| Last Updated Date | 2022-03-07 |
Provider Mailing Address Detail
| Address | 6108 Nw 113th Pl |
|---|---|
| City | Doral |
| State | Florida (FL) |
| Post Code | 331783607 |
| Phone Number | 3052132842 |
| Fax Number | 3055970119 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PY7335 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique identification code assigned to Sandra Deris Atassi by the Centers for Medicare & Medicaid Services?
The Sandra Deris Atassi has been issued the NPI (National Provider Identifier) 1417154055. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Sandra Deris Atassi located?
The Sandra Deris Atassi is located at 6108 Nw 113Th Pl, Doral, FL 331783607.
What is the Sandra Deris Atassi's specialty and taxonomy code?
The Sandra Deris Atassi's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1417154055 to Sandra Deris Atassi?
The Centers for Medicare & Medicaid Services assigned the 1417154055 to Sandra Deris Atassi on 2007-06-28.
As of what date were the Sandra Deris Atassi's details last updated?
The information pertaining to the Sandra Deris Atassi, including its address, specialty, and other details, was most recently updated on 2022-03-07.