Cassidy, Clara

Cassidy, Clara is an individual health care provider with primary practice located at 50 Donald Bean Dr Ste B, South Portland ME 04106. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Cassidy, Clara can be contacted via phone (207) 274-2528.

Contact Information

Primary practice address
50 Donald Bean Dr Ste B South Portland ME 04106
Fax:
Website:

Health care specialties

Profile Details

NPI number 1568013936
LBN Legal business name Cassidy, Clara
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2019
Last updated Sep 26th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568013936 NPPES
Maine Other XVH0000270784 ANTHEM

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