Defeo, Cassandra

Defeo, Cassandra is an individual health care provider with primary practice located at 3 Forest Ave Apt A , Jekyll Island GA 31527-0786. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Dietary & Nutritional Service Providers / Dietitian, Registered. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Defeo, Cassandra can be contacted via phone (912) 515-5822.

Contact Information

Primary practice address
3 Forest Ave Apt A Jekyll Island GA 31527-0786
Phone: (912) 515-5822
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC007019 Georgia
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X LD004284 Georgia

Profile Details

NPI number 1013525401
LBN Legal business name Defeo, Cassandra
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2020
Last updated Jun 3rd, 2022 - about 3 years 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.

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