Provider Demographics
NPI:1952049504
Name:RASSLER, BRIELLE PAIGE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:BRIELLE
Middle Name:PAIGE
Last Name:RASSLER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1961 SW 81ST AVE
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33324-5423
Mailing Address - Country:US
Mailing Address - Phone:954-557-6922
Mailing Address - Fax:
Practice Address - Street 1:1961 SW 81ST AVE
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33324-5423
Practice Address - Country:US
Practice Address - Phone:954-557-6922
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-24
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY11495103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist