Provider Demographics
NPI:1194940916
Name:SASS, KIMBERLEE J (PHD)
Entity type:Individual
Prefix:DR
First Name:KIMBERLEE
Middle Name:J
Last Name:SASS
Suffix:
Gender:M
Credentials:PHD
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Mailing Address - Street 1:1040 MOUNT CARMEL AVE
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06518-1608
Mailing Address - Country:US
Mailing Address - Phone:203-281-3060
Mailing Address - Fax:866-596-7112
Practice Address - Street 1:291 WHITNEY AVE
Practice Address - Street 2:SUITE 402
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-3724
Practice Address - Country:US
Practice Address - Phone:203-789-1300
Practice Address - Fax:866-596-7112
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2013-08-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CTCT01234103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist