| 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 |