Provider Demographics
NPI:1386962231
Name:WHITE, CASSIE ANN (PSYD)
Entity type:Individual
Prefix:DR
First Name:CASSIE
Middle Name:ANN
Last Name:WHITE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:CASSIE
Other - Middle Name:ANN
Other - Last Name:FAULHABER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:7033 E GREENWAY PKWY STE 120
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-2075
Mailing Address - Country:US
Mailing Address - Phone:480-567-9771
Mailing Address - Fax:
Practice Address - Street 1:7033 E GREENWAY PKWY STE 120
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-2075
Practice Address - Country:US
Practice Address - Phone:480-567-9771
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-16
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4090103G00000X, 103TC0700X
CO3972103G00000X, 103TA0700X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103TA0700XBehavioral Health & Social Service ProvidersPsychologistAdult Development & Aging