Provider Demographics
NPI:1396468278
Name:MOFFAT, CASSANDRA M (PSYD)
Entity type:Individual
Prefix:DR
First Name:CASSANDRA
Middle Name:M
Last Name:MOFFAT
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 SHADY AVE STE A103
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-4457
Mailing Address - Country:US
Mailing Address - Phone:412-530-1956
Mailing Address - Fax:
Practice Address - Street 1:120 SIMON AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-2822
Practice Address - Country:US
Practice Address - Phone:412-513-6407
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-26
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist