Provider Demographics
NPI:1164503769
Name:VASSER, VIVIAN ALINDY (LISW)
Entity Type:Individual
Prefix:MS
First Name:VIVIAN
Middle Name:ALINDY
Last Name:VASSER
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2130 VAN OAKS DR
Mailing Address - Street 2:
Mailing Address - City:TWINSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:44087-2802
Mailing Address - Country:US
Mailing Address - Phone:330-963-7665
Mailing Address - Fax:330-963-7655
Practice Address - Street 1:2130 VAN OAKS DR
Practice Address - Street 2:
Practice Address - City:TWINSBURG
Practice Address - State:OH
Practice Address - Zip Code:44087-2802
Practice Address - Country:US
Practice Address - Phone:330-963-7665
Practice Address - Fax:330-963-7655
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI75351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical