Provider Demographics
NPI:1255165940
Name:LOMBARDI, CASSANDRA RUTH
Entity type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:RUTH
Last Name:LOMBARDI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CASSIE
Other - Middle Name:
Other - Last Name:LOMBARDI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4 MORNINGSIDE DR
Mailing Address - Street 2:
Mailing Address - City:WEST WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02893-2009
Mailing Address - Country:US
Mailing Address - Phone:401-965-9005
Mailing Address - Fax:
Practice Address - Street 1:8 N MAIN ST STE 504
Practice Address - Street 2:
Practice Address - City:ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02703-2273
Practice Address - Country:US
Practice Address - Phone:508-409-0000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-27
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health