Provider Demographics
NPI:1427855055
Name:GEORGE, CASSIDY MORGAN
Entity type:Individual
Prefix:
First Name:CASSIDY
Middle Name:MORGAN
Last Name:GEORGE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3211 LAURELWOOD DR
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16101-6027
Mailing Address - Country:US
Mailing Address - Phone:724-698-4457
Mailing Address - Fax:
Practice Address - Street 1:112 W WESTERN RESERVE RD # B
Practice Address - Street 2:
Practice Address - City:POLAND
Practice Address - State:OH
Practice Address - Zip Code:44514-3522
Practice Address - Country:US
Practice Address - Phone:330-423-2114
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-01
Last Update Date:2025-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program