Individual
DR. JAMES JOSEPH CASSIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
151 BROAD ST, MIDDLETOWN, CT 06457-3327
(860) 342-0760
(860) 346-0054
Mailing address
151 BROAD ST, MIDDLETOWN, CT 06457-3327
(860) 342-0760
(860) 346-0054
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
001886
CT
103TC1900X
Counseling Psychologist
—
—
103TF0200X
Forensic Psychologist
001886
CT
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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