Provider Demographics
NPI:1346387321
Name:WASSERMAN, WILLIAM (LMHC)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:
Last Name:WASSERMAN
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7757 SW 86TH ST
Mailing Address - Street 2:#410C
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-7289
Mailing Address - Country:US
Mailing Address - Phone:305-505-6787
Mailing Address - Fax:
Practice Address - Street 1:7757 SW 86TH ST
Practice Address - Street 2:#410C
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-7289
Practice Address - Country:US
Practice Address - Phone:305-505-6787
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL#MHC0001793101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health