Glover, Cassidy

Glover, Cassidy is an individual health care provider with primary practice located at 1 Leo Moss Dr , Olean NY 14760-1100. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Glover, Cassidy can be contacted via phone (716) 353-4672.

Contact Information

Primary practice address
1 Leo Moss Dr Olean NY 14760-1100
Fax: (716) 353-8617
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1154668887
LBN Legal business name Glover, Cassidy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2013
Last updated Jan 15th, 2013 - about 11 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 1154668887 NPPES
New York MEDICAID 00635098

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