Provider Demographics
NPI:1265883987
Name:ANNJANNETTE SAS-GALVEZ, PSY.D.
Entity type:Organization
Organization Name:ANNJANNETTE SAS-GALVEZ, PSY.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:ANNJANNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:SAS-GALVEZ
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:954-536-6184
Mailing Address - Street 1:PO BOX 827081
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33082-7081
Mailing Address - Country:US
Mailing Address - Phone:954-536-6184
Mailing Address - Fax:
Practice Address - Street 1:2250 NW 136 AVE STE 100G
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33028-2586
Practice Address - Country:US
Practice Address - Phone:954-536-6184
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-23
Last Update Date:2016-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY8285385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care