Individual
DONALD CASSIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
6040 SOUTHPORT DR, BETHESDA, MD 20814-1848
(301) 493-4200
(301) 493-6209
Mailing address
19900 NEW HAMPSHIRE AVE, BRINKLOW, MD 20862-9744
(301) 493-4200
(301) 493-6209
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
02693
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52473002
CAREFIRST NON PAR #
MD
Enumeration date
06/30/2006
Last updated
07/09/2007
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