Healthcare Provider Details

I. General information

NPI: 1396474375
Provider Name (Legal Business Name): CASSANDRA MASSEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2022
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 6402
ALAMEDA CA
94501-5102
US

IV. Provider business mailing address

PO BOX 6402
ALAMEDA CA
94501-5102
US

V. Phone/Fax

Practice location:
  • Phone: 650-376-0868
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number143043
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: