Provider Demographics
NPI:1578869400
Name:DOROTHY SASMOR,PH.D.,P.A.
Entity Type:Organization
Organization Name:DOROTHY SASMOR,PH.D.,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:SASMOR
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:305-595-1909
Mailing Address - Street 1:9485 SUNSET DR
Mailing Address - Street 2:SUITE A202
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3242
Mailing Address - Country:US
Mailing Address - Phone:305-595-1909
Mailing Address - Fax:305-271-2088
Practice Address - Street 1:9485 SUNSET DR
Practice Address - Street 2:SUITE A202
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3242
Practice Address - Country:US
Practice Address - Phone:305-595-1909
Practice Address - Fax:305-271-2088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-10
Last Update Date:2011-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY3368251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health