Physician Compare National (NPI:1275740250)

HEALTHCARE PROVIDER: CASSANDRA DELACOEUR PH.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1275740250
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5597824334
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20081107000326
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DELACOEUR
	Individual professional last name
Provider First Name	CASSANDRA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1991
	Individual professional's medical school graduation year
Primary Specialty	PSYCHOLOGIST, CLINICAL
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	877 S VICTORIA AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 207
	Group Practice or individual's line 2 address
City	VENTURA
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	930035387
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8056548012
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y