Provider Demographics
NPI:1053175182
Name:PAY IT FORWARD ASSESSMENTS, LLC
Entity type:Organization
Organization Name:PAY IT FORWARD ASSESSMENTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:HASSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:240-813-8545
Mailing Address - Street 1:12501 FOSTORIA WAY
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-2235
Mailing Address - Country:US
Mailing Address - Phone:936-525-9292
Mailing Address - Fax:
Practice Address - Street 1:12501 FOSTORIA WAY
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20878-2235
Practice Address - Country:US
Practice Address - Phone:240-813-8545
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-08
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty