Individual
DR. ELIZABETH CASSANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1144 SONOMA AVE, SANTA ROSA, CA 95405-4812
(707) 799-3825
Mailing address
2408 FORSE LN, SANTA ROSA, CA 95404-7807
(707) 799-3825
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
26317
CA
Other
Enumeration date
04/07/2014
Last updated
03/26/2015
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