Individual
MARY STEWART CASSADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
11111 HALL RD, STE 201, UTICA, MI 48317-5711
(586) 254-7383
(586) 254-7383
Mailing address
36873 MORAVIAN DR, CLINTON TWP, MI 48035-1211
(586) 214-8425
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301012228
MI
103TC2200X
Clinical Child & Adolescent Psychologist
6301012228
MI
Other
Enumeration date
01/29/2007
Last updated
04/19/2013
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