Provider Demographics
NPI:1457633182
Name:CASSEL, ANNA G (PHD)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:G
Last Name:CASSEL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:313 WASHINGTON ST
Mailing Address - Street 2:SUITE 402
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02458-1626
Mailing Address - Country:US
Mailing Address - Phone:617-259-1895
Mailing Address - Fax:617-259-1899
Practice Address - Street 1:313 WASHINGTON ST
Practice Address - Street 2:SUITE 402
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02458-1626
Practice Address - Country:US
Practice Address - Phone:617-259-1895
Practice Address - Fax:617-259-1899
Is Sole Proprietor?:No
Enumeration Date:2011-09-20
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA9411103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical