Dr. Cassidy Michaela Van Trease, PhD
Psychologist, Clinical in Aurora, CO. Individual provider (NPI-1).
NPI number1184241069
StatusActive
Last updated in NPPESSep 17, 2024
Details
- NPI
- 1184241069
- Entity type
- Individual (NPI-1)
- Name
- Dr. Cassidy Michaela Van Trease
- Credential
- PhD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 26, 2020
- Certification date
- Sep 17, 2024
- Last updated
- Sep 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PSY.0006504 | CO | Yes |
| 103TC1900X | Psychologist, Counseling | 00015457 | CO | |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 103T00000X | Psychologist | 00015457 | CO | |
| 103TC0700X | Psychologist, Clinical | 00015457 | CO |
Practice location
10782 E Alameda AveAurora, CO 80012-1017
Phone 832-718-5218
Mailing address
1290 Chambers RdAurora, CO 80011-7117
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