Provider Demographics
NPI:1598553752
Name:GALE, CASANDRA ANTOINETTE (DNP, PMHNP)
Entity type:Individual
Prefix:
First Name:CASANDRA
Middle Name:ANTOINETTE
Last Name:GALE
Suffix:
Gender:
Credentials:DNP, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 NEWBURY DR APT 1323
Mailing Address - Street 2:
Mailing Address - City:HOLDEN
Mailing Address - State:MA
Mailing Address - Zip Code:01520-1568
Mailing Address - Country:US
Mailing Address - Phone:774-222-5106
Mailing Address - Fax:
Practice Address - Street 1:144 NORTH RD STE 3450
Practice Address - Street 2:
Practice Address - City:SUDBURY
Practice Address - State:MA
Practice Address - Zip Code:01776-1183
Practice Address - Country:US
Practice Address - Phone:978-233-3054
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN23604472084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry