Provider Demographics
NPI:1942294061
Name:STEWAART, CASSANDRA (PHD)
Entity Type:Individual
Prefix:DR
First Name:CASSANDRA
Middle Name:
Last Name:STEWAART
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:CASSANDRA
Other - Middle Name:
Other - Last Name:LEVINE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:341 S CEDROS AVE
Mailing Address - Street 2:SUITE D
Mailing Address - City:SOLANA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92075-1985
Mailing Address - Country:US
Mailing Address - Phone:858-792-8585
Mailing Address - Fax:858-792-8587
Practice Address - Street 1:341 S CEDROS AVE
Practice Address - Street 2:SUITE D
Practice Address - City:SOLANA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92075-1985
Practice Address - Country:US
Practice Address - Phone:858-792-8585
Practice Address - Fax:858-792-8587
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY4584103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical