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Contact Information

SUMMER F CASSIDY
917 SHERWOOD DR STE 201
LAKE BLUFF, IL60044-2235
 Phone: 877-486-4140
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Technician

106S00000X
 

Family

103TF0000X 62 Psychologist, Clinical
 

School

103TS0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SUMMER F CASSIDY · (Female)

NPI Number 1508694290
Status Active
Credentials
Entity Individual
Enumeration date 07/24/2024
Last updated 07/24/2024 - More than a year ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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