Provider Demographics
NPI:1427210459
Name:SASLOV, ADAM LANE (LMHC)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:LANE
Last Name:SASLOV
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 1:20859 VIA VALENCIA DR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-1735
Mailing Address - Country:US
Mailing Address - Phone:561-289-5446
Mailing Address - Fax:
Practice Address - Street 1:20859 VIA VALENCIA DR
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-1735
Practice Address - Country:US
Practice Address - Phone:561-289-5446
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-01
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 7379101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health