Provider Demographics
NPI:1043560618
Name:BRESSLER, JILL (PHD)
Entity Type:Individual
Prefix:DR
First Name:JILL
Middle Name:
Last Name:BRESSLER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7721 HOLIDAY DR
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34231-5313
Mailing Address - Country:US
Mailing Address - Phone:941-922-1490
Mailing Address - Fax:815-346-3390
Practice Address - Street 1:7721 HOLIDAY DR
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231-5313
Practice Address - Country:US
Practice Address - Phone:941-922-1490
Practice Address - Fax:815-346-3390
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-11
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSS1137103T00000X
PAPS005958L103TC0700X
FLSW104421041C0700X
PAPSOO5958L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical