Organization
CASSADA PSYCHIATRIC CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARGARET KEA OGDEN CASSADA M.D. (PRESIDENT CEO)
(662) 820-6899
Entity
Organization
Contact information
Practice address
304 S DEER CREEK DR W, LELAND, MS 38756-3130
(662) 820-6899
Mailing address
PO BOX 939, LELAND, MS 38756-0939
(662) 820-6899
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
16112
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06907260
—
MS
01
—
1427032754
INDIVIDUAL NPI #
MS
01
—
227119428B
BCBS
MS
Enumeration date
10/18/2007
Last updated
08/31/2010
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