Cassidy, Jennie May

Cassidy, Jennie May is an sole proprietor health care provider with primary practice located at 204 University Blvd. Coastal Carolina University, Conway SC 29528-6054. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Group Psychotherapy. Behavioral Health & Social Service Providers / Counseling is her primary health care specialty. Cassidy, Jennie May can be contacted via phone (843) 349-2305.

Contact Information

Primary practice address
204 University Blvd. Coastal Carolina University Conway SC 29528-6054
Fax: (843) 349-2898
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 1042 South Carolina
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1042 South Carolina
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X 1042 South Carolina

Profile Details

NPI number 1184752495
LBN Legal business name Cassidy, Jennie May
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2007
Last updated Jul 8th, 2007 - about 17 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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