Provider Demographics
NPI:1558759761
Name:CASCIO, DENISE PHALON (PSYD)
Entity Type:Individual
Prefix:DR
First Name:DENISE
Middle Name:PHALON
Last Name:CASCIO
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 HACKENSACK AVE
Mailing Address - Street 2:7TH FLOOR
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-6328
Mailing Address - Country:US
Mailing Address - Phone:201-465-8124
Mailing Address - Fax:201-465-8110
Practice Address - Street 1:411 HACKENSACK AVE
Practice Address - Street 2:7TH FLOOR
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-6328
Practice Address - Country:US
Practice Address - Phone:201-465-8124
Practice Address - Fax:201-465-8110
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-23
Last Update Date:2014-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SJ00471900103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist