Individual
ALYSSA MAE CASCIOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
7300 E INDIANA ST, EVANSVILLE, IN 47715-2794
(812) 401-8008
(812) 401-8201
Mailing address
7300 E INDIANA ST, EVANSVILLE, IN 47715-2794
(812) 401-8008
(812) 401-8201
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20043061A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20043061A
LICENSE
IN
Enumeration date
12/10/2012
Last updated
05/17/2018
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