Nassar, Stephen Edward

Nassar, Stephen Edward is an sole proprietor health care provider with primary practice located at 3684 N Wickham Rd Suite B, Melbourne FL 32935-2328. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Nassar, Stephen Edward can be contacted via phone (321) 751-3636.

Contact Information

Primary practice address
3684 N Wickham Rd Suite B Melbourne FL 32935-2328
Phone: (321) 751-3636
Fax: (321) 751-8108
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY6228 Florida
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW3802 Florida

Profile Details

NPI number 1790703973
LBN Legal business name Nassar, Stephen Edward
Credentials PSYD, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2006
Last updated Oct 17th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790703973 NPPES
Florida Other 134222541 TRICARE PROVIDER NUMBER
Florida Other 54815 TRICARE PROVIDER NUMBER

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