Individual
JACK CASSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
700 35TH AVE, TUSCALOOSA, AL 35401-1330
(205) 758-3867
Mailing address
1703 UNIVERSITY BLVD APT 102, TUSCALOOSA, AL 35401-1143
(407) 453-2676
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
07/24/2025
Last updated
07/24/2025
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