Provider Demographics
NPI:1972635605
Name:KASSOVER, APRIL (PHILOSOPHY DOCTORATE)
Entity Type:Individual
Prefix:MISS
First Name:APRIL
Middle Name:
Last Name:KASSOVER
Suffix:
Gender:F
Credentials:PHILOSOPHY DOCTORATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2191 MAN OF WAR
Mailing Address - Street 2:WEST PALM BEACH
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411
Mailing Address - Country:US
Mailing Address - Phone:561-793-0388
Mailing Address - Fax:
Practice Address - Street 1:12773 WEST FOREST HILL BLVD
Practice Address - Street 2:SUITE 214
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414
Practice Address - Country:US
Practice Address - Phone:561-650-2233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY4158103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL73471Medicare ID - Type Unspecified