Individual
DR. JENNIE MAY CASSIDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
204 UNIVERSITY BLVD., COASTAL CAROLINA UNIVERSITY, CONWAY, SC 29528-6054
(843) 349-2305
(843) 349-2898
Mailing address
280 BARCLAY DR, MYRTLE BEACH, SC 29579-6572
(843) 685-2125
(843) 349-2898
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1042
SC
103TC1900X
Counseling Psychologist
1042
SC
103TP2701X
Group Psychotherapy Psychologist
Primary
1042
SC
Other
Enumeration date
02/28/2007
Last updated
09/11/2025
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