Doctor Name: | DR. ANDREW BARRETT CASSENS |
NPI Number: | 1023391232 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSY.D. |
License Number: | 6301014378 |
Business Practice Address: | 4241 Barnard Rd Saginaw, MI - 486031308 |
Business Phone Number: | 9894972500 |
Business Fax Number: | 9893214922 |
Mailing Address: | 4241 Barnard Rd, SAGINAW |
State: | MI |
Postal Code: | 486031308 |
Phone Number: | 9894972500 |
Fax Number: | 9893214922 |
NPI Enumeration Date: | 09/23/2011 |
NPI Last Update Date: | 09/23/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 6301014378 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |