Provider Demographics
NPI:1023572229
Name:JAMES, CASSANDRA DENISE (MS OF PSYCHOLOGY)
Entity Type:Individual
Prefix:MRS
First Name:CASSANDRA
Middle Name:DENISE
Last Name:JAMES
Suffix:
Gender:F
Credentials:MS OF PSYCHOLOGY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 SHELLBARK WAY APT 8104
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31407-3970
Mailing Address - Country:US
Mailing Address - Phone:912-232-3336
Mailing Address - Fax:
Practice Address - Street 1:100 SHELLBARK WAY APT 8104
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31407-3970
Practice Address - Country:US
Practice Address - Phone:912-232-3336
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-22
Last Update Date:2019-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth