Thomas Allen Cassidy | Santa Rosa, CA • PECOS Search

Thomas Allen Cassidy

Marriage & Family Therapist

Behavioral Health & Social Service Providers

2403 Professional Dr Ste 101, Santa Rosa, CA 95403-3007

(707) 544-3295 (707) 235-7503

PECOS Enrollment

Based on the most recent information from CMS, provider Thomas Allen Cassidy does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1205569720
Provider Type
Individual
Full Name
Cassidy, Thomas Allen
Gender
Male

Sole Proprietor
No
Enumeration Date
7/1/2022
Last Updated
12/22/2023

Contact Information

Practice Location

2403 Professional Dr Ste 101, Santa Rosa, CA 95403-3007

Unlisted Fax

Mailing Location

PO Box 1267, Windsor, CA 95492-1267

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License 143721 California