Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TA0700X | Adult Development & Aging Psychologist | ||
Y | 103TB0200X | Cognitive & Behavioral Psychologist |
NPI | 1659691293 |
---|---|
Provider Name | Dr. Cassandra M. Germain |
First Address | Morrisville, NC 27560-7056 |
Second Address | Morrisville, NC 27560-7056 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2010 |
Last Update Date | 04/01/2011 |