Charles-Tabacco, Cassandra
Charles-Tabacco, Cassandra is an individual health care provider with primary practice located at 2875 Main St , Stratford CT 06614-4979. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Charles-Tabacco, Cassandra can be contacted via phone (203) 993-1722.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 003622 | Connecticut |
Profile Details
| NPI number | 1811417082 |
|---|---|
| LBN Legal business name | Charles-Tabacco, Cassandra |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2017 |
| Last updated | Aug 6th, 2026 - about 2 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811417082 | NPPES |
| Connecticut | MEDICAID | 06-0669106 |
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