Doctor Name: | MS. CASSANDRA L. MAGGIO |
NPI Number: | 1063683530 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MASTERS |
License Number: | |
Business Practice Address: | 301 Broadway Chelsea, MA - 021502807 |
Business Phone Number: | 6179127989 |
Business Fax Number: | |
Mailing Address: | 16 Malden Ave, SANFORD |
State: | ME |
Postal Code: | 040735522 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/12/2008 |
NPI Last Update Date: | 03/12/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |