Provider Demographics
NPI:1124088992
Name:CASSCLES, ELIZABETH LOVICK (PHD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:LOVICK
Last Name:CASSCLES
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 ROUTE 385
Mailing Address - Street 2:
Mailing Address - City:CATSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12414-6018
Mailing Address - Country:US
Mailing Address - Phone:518-755-2803
Mailing Address - Fax:
Practice Address - Street 1:308 ROUTE 385
Practice Address - Street 2:
Practice Address - City:CATSKILL
Practice Address - State:NY
Practice Address - Zip Code:12414-6018
Practice Address - Country:US
Practice Address - Phone:518-755-2803
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-25
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010417103TC0700X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical