Organization
MARY CASSADY PH.D. PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY CASSADY PH.D. (OWNER)
(586) 254-7383
Entity
Organization
Contact information
Practice address
11111 HALL RD, SUITE 201, UTICA, MI 48317-5711
(586) 254-7383
Mailing address
11111 HALL RD, SUITE 201, UTICA, MI 48317-5711
(586) 254-7383
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301012228
MI
103TC1900X
Counseling Psychologist
6301012228
MI
103TC2200X
Clinical Child & Adolescent Psychologist
6301012228
MI
Other
Enumeration date
05/16/2007
Last updated
09/11/2025
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