Provider Demographics
NPI:1649226234
Name:KLYMAN, CASSANDRA MORLEY (MD)
Entity Type:Individual
Prefix:DR
First Name:CASSANDRA
Middle Name:MORLEY
Last Name:KLYMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3060 CHICKERING LN
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48302-1408
Mailing Address - Country:US
Mailing Address - Phone:248-335-7194
Mailing Address - Fax:248-335-5621
Practice Address - Street 1:3060 CHICKERING LN
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48302-1408
Practice Address - Country:US
Practice Address - Phone:248-335-7194
Practice Address - Fax:148-335-5621
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2007-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1403-0255652084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIFO6182Medicare UPIN
MI0635036Medicare PIN