Provider Demographics
NPI:1841687449
Name:ADAMS, CASSANDRA LEIGH (MS, PHD)
Entity type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:LEIGH
Last Name:ADAMS
Suffix:
Gender:F
Credentials:MS, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 LEGACY DR
Mailing Address - Street 2:SUITE 400
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-3112
Mailing Address - Country:US
Mailing Address - Phone:972-800-9540
Mailing Address - Fax:972-473-7699
Practice Address - Street 1:5000 LEGACY DR
Practice Address - Street 2:SUITE 400
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-3112
Practice Address - Country:US
Practice Address - Phone:972-800-9540
Practice Address - Fax:972-473-7699
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-21
Last Update Date:2015-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36516103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical