Individual
STEPHEN EDWIN CASSIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2629 REDWING ROAD, SUITE 316, FORT COLLINS, CO 80526-2879
(970) 229-9959
(970) 223-1325
Mailing address
2629 REDWING ROAD, SUITE 316, FORT COLLINS, CO 80526-2879
(970) 229-9959
(970) 223-1325
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1049
CO
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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