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Organization

RIVERSIDE COUNSELING ASSOCIATES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THOMAS M CASSADY PHD, PSYCHOLOGIST (PRESIDENT OF THE CORPORATION)
(440) 992-7878
Entity
Organization

Contact information

Practice address
4510 COLLINS BLVD, SUITE 2, ASHTABULA, OH 44004-6954
(440) 992-7878
(440) 992-7887
Mailing address
4510 COLLINS BLVD, SUITE 2, ASHTABULA, OH 44004-6954
(440) 992-7878
(440) 992-7887

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
E2512
OH
101YP2500X
Professional Counselor
E3468
OH
101YP2500X
Professional Counselor
E4265
OH
103TC0700X
Clinical Psychologist
Primary
3565
OH
1041C0700X
Clinical Social Worker
I0002303
OH
1041C0700X
Clinical Social Worker
I217
OH
1041C0700X
Clinical Social Worker
I9169
OH
208D00000X
General Practice Physician
34-00-1718-M
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0022880
OH
Enumeration date
02/20/2007
Last updated
11/16/2007
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