Provider Demographics
NPI:1891919056
Name:ARDOIN, CASSANDRA (PHD)
Entity Type:Individual
Prefix:DR
First Name:CASSANDRA
Middle Name:
Last Name:ARDOIN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:CASSANDRA
Other - Middle Name:
Other - Last Name:ARDOIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:133 BOWLING AVE
Mailing Address - Street 2:B
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-2368
Mailing Address - Country:US
Mailing Address - Phone:615-330-3623
Mailing Address - Fax:
Practice Address - Street 1:133 BOWLING AVE
Practice Address - Street 2:B
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2368
Practice Address - Country:US
Practice Address - Phone:615-330-3623
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2013-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPE0000011117103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling