Individual
DR. MICHAEL CHRISTOPHER CASSANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2300 COMPUTER RD, SUITE J-52, WILLOW GROVE, PA 19090-1752
(215) 658-4553
Mailing address
8009 RODGERS RD, ELKINS PARK, PA 19027-1325
(207) 356-0041
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PE1156
ME
103T00000X
Psychologist
Primary
PS016715
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432560399
—
ME
Enumeration date
05/09/2007
Last updated
01/04/2010
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