Provider Demographics
NPI:1992940324
Name:SASS, NEIL MARK (MS)
Entity type:Individual
Prefix:MR
First Name:NEIL
Middle Name:MARK
Last Name:SASS
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:85 BENEDICT AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:NORWALK
Mailing Address - State:OH
Mailing Address - Zip Code:44857-2112
Mailing Address - Country:US
Mailing Address - Phone:419-663-9675
Mailing Address - Fax:419-446-2236
Practice Address - Street 1:85 BENEDICT AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:NORWALK
Practice Address - State:OH
Practice Address - Zip Code:44857-2112
Practice Address - Country:US
Practice Address - Phone:419-663-9675
Practice Address - Fax:419-446-2236
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-15
Last Update Date:2008-12-15
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist