Provider Demographics
NPI:1104663749
Name:DR. CASSIA MOSDELL, PSYD
Entity type:Organization
Organization Name:DR. CASSIA MOSDELL, PSYD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CASSIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:MOSDELL
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:862-206-9500
Mailing Address - Street 1:9 ROSEDALE AVE
Mailing Address - Street 2:
Mailing Address - City:MILLBURN
Mailing Address - State:NJ
Mailing Address - Zip Code:07041-1915
Mailing Address - Country:US
Mailing Address - Phone:862-206-9500
Mailing Address - Fax:
Practice Address - Street 1:675 MORRIS AVE STE 202
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07081-1523
Practice Address - Country:US
Practice Address - Phone:862-206-9500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-11
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty