Healthcare Provider Details

I. General information

NPI: 1003199944
Provider Name (Legal Business Name): DAVID CASSIDY
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2011
Last Update Date: 09/27/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1756 S LEWIS RD
CAMARILLO CA
93012-8520
US

IV. Provider business mailing address

261 N 5TH ST
PORT HUENEME CA
93041-3003
US

V. Phone/Fax

Practice location:
  • Phone: 805-383-3669
  • Fax: 805-383-3692
Mailing address:
  • Phone: 805-383-3669
  • Fax: 805-383-3692

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: