Provider Demographics
NPI:1558930933
Name:HAMBLETON, CASSANDRA MAUREEN
Entity Type:Individual
Prefix:MRS
First Name:CASSANDRA
Middle Name:MAUREEN
Last Name:HAMBLETON
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:CASSANDRA
Other - Middle Name:MAUREEN
Other - Last Name:BOREN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17 DORSET AVE
Mailing Address - Street 2:
Mailing Address - City:MILLVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08332-4835
Mailing Address - Country:US
Mailing Address - Phone:609-579-3461
Mailing Address - Fax:
Practice Address - Street 1:60 W LANDIS AVE
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-8132
Practice Address - Country:US
Practice Address - Phone:856-772-5809
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-21
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical