Provider Demographics
NPI:1174568497
Name:JASSAL, SAT PAL (AUD)
Entity type:Individual
Prefix:DR
First Name:SAT
Middle Name:PAL
Last Name:JASSAL
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3143 KNIGHTS RD
Mailing Address - Street 2:SUITE # 3
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-2801
Mailing Address - Country:US
Mailing Address - Phone:215-638-3677
Mailing Address - Fax:
Practice Address - Street 1:3143 KNIGHTS RD
Practice Address - Street 2:SUITE # 3
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-2801
Practice Address - Country:US
Practice Address - Phone:215-638-3677
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT-195L231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA284933Medicare ID - Type Unspecified