Provider Demographics
NPI:1770960734
Name:CASSANDRA ADAMS, PHD, PLLC
Entity type:Organization
Organization Name:CASSANDRA ADAMS, PHD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CASSANDRA
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, PHD
Authorized Official - Phone:972-800-9540
Mailing Address - Street 1:5000 LEGACY DRIVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-3112
Mailing Address - Country:US
Mailing Address - Phone:972-800-9540
Mailing Address - Fax:972-473-7699
Practice Address - Street 1:5000 LEGACY DRIVE
Practice Address - Street 2:SUITE 400
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-3112
Practice Address - Country:US
Practice Address - Phone:972-800-9540
Practice Address - Fax:972-473-7699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-29
Last Update Date:2015-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36516103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty