Dr. James Joseph Cassidy, PhD
Psychologist, Clinical in Middletown, CT. Individual provider (NPI-1).
NPI number1679823116
StatusActive
Last updated in NPPESSep 12, 2012
Details
- NPI
- 1679823116
- Entity type
- Individual (NPI-1)
- Name
- Dr. James Joseph Cassidy
- Credential
- PhD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 12, 2012
- Last updated
- Sep 12, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 001886 | CT | Yes |
| 103TB0200X | Psychologist, Cognitive & Behavioral | – | – | |
| 103TC1900X | Psychologist, Counseling | – | – | |
| 103TF0200X | Psychologist, Forensic | 001886 | CT | |
| 103TP2701X | Psychologist, Group Psychotherapy | – | – |
Practice location
151 Broad StMiddletown, CT 06457-3327
Phone 860-342-0760 · Fax 860-346-0054
Mailing address
151 Broad StMiddletown, CT 06457-3327
Phone 860-342-0760 · Fax 860-346-0054
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