Individual
DR. CASSIDY JENKINS
Active
Individual
DR. CASSIDY JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
0805002663
VA
103TA0700X
Adult Development & Aging Psychologist
0805002663
VA
103TB0200X
Cognitive & Behavioral Psychologist
0805002663
VA
103TC0700X
Clinical Psychologist
Primary
0805002663
VA
103TC2200X
Clinical Child & Adolescent Psychologist
0805002663
VA
103TF0000X
Family Psychologist
0805002663
VA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
0805002663
VA
Other
Enumeration date
05/21/2025
Last updated
06/13/2025
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