| Doctor Name: | CASSANDRA TORDOSINSKY |
| NPI Number: | 1386984276 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LLPC, NCE |
| License Number: | 6401013331 |
| Business Practice Address: | 45660 Schoenherr Rd Shelby Twp, MI - 483156033 |
| Business Phone Number: | 5865663020 |
| Business Fax Number: | |
| Mailing Address: | 3209 Lakeside Dr, SHELBY TOWNSHIP |
| State: | MI |
| Postal Code: | 483162960 |
| Phone Number: | 2482254552 |
| Fax Number: | |
| NPI Enumeration Date: | 02/28/2013 |
| NPI Last Update Date: | 02/28/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 6401013331 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |