Individual
DR. JEFFREY E CASSISI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1200 MURCHISON RD, DEPT OF PSYCHOLOGY, FAYETTEVILLE STATE UNIVERSITY, FAYETTEVILLE, NC 28301-4252
(910) 672-1577
(910) 672-1043
Mailing address
3201 BENTWILLOW DR, FUQUAY VARINA, NC 27526-8686
(919) 889-9625
(910) 672-1043
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
#3120
NC
103TC0700X
Clinical Psychologist
PY 3989
FL
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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