NPI | 1164192209 |
---|---|
Professional Name | CAROL LYNN CASSEDY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3014760) |
Additional Taxonomies | 103T00000X Psychologist (Licence: KY 1140860) |
Enumeration Date | 2021-09-20 |
Last Update Date | 2021-10-22 |