Provider Demographics
NPI:1427098961
Name:CASSIDY, HEATHER LYLE (PSYD)
Entity type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:LYLE
Last Name:CASSIDY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 BELVEDERE BLVD
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-4004
Mailing Address - Country:US
Mailing Address - Phone:202-251-5197
Mailing Address - Fax:
Practice Address - Street 1:8700 GEORGIA AVE STE 305
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-3605
Practice Address - Country:US
Practice Address - Phone:202-251-5197
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2022-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPSY1000359103TC0700X
MD04180103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical