| Doctor Name: | GERALDINE ROSE CASSENS |
| NPI Number: | 1538207832 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD PSYCHOLOGIST |
| License Number: | 001423 |
| Business Practice Address: | 61 South Main Street Suite 203 West Hartford, CT - 061071911 |
| Business Phone Number: | 8605217333 |
| Business Fax Number: | 8605213666 |
| Mailing Address: | 61 South Main Street, Suite 203 WEST HARTFORD |
| State: | CT |
| Postal Code: | 061071911 |
| Phone Number: | 8605217333 |
| Fax Number: | 8605213666 |
| NPI Enumeration Date: | 02/01/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103G00000X |
| License Number: | 001423 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Clinical Neuropsychologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |