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Contact Information

ADAM CASSIDY, PhD
200 1ST ST SW
ROCHESTER, MN55905-0001
 Phone: 507-284-2511
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Clinical Neuropsychologist

103G00000X
Indicates primary specialty

NPI Profile & details for ADAM CASSIDY · (Male)

NPI Number 1326395039
Status Active
Credentials PhD
Entity Individual
Enumeration date 08/13/2012
Last updated 12/31/2020 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 9563
  • MN License # 6635
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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