Riverside Counseling Associates, Inc.

NPI #1528102654 in Ashtabula, Ohio

Provider Information

NPI Number: 1528102654
Entity Type: Organization
Organization Name: Riverside Counseling Associates, Inc.
Primary Specialty: Psychologist - Clinical
Enumeration Date: Feb 20, 2007
Last Updated: Nov 16, 2007

Practice Location

Address: 4510 COLLINS BLVD
Address 2: SUITE 2
City: Ashtabula
State: Ohio
ZIP Code: 44004-6954
Phone: (440) 992-7878

Authorized Official

Name: DR. THOMAS M CASSADY, PHD, PSYCHOLOGIST
Title: PRESIDENT OF THE CORPORATION
Phone: (440) 992-7878

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X
Counselor - Professional — Professional	101YP2500X
General Practice	208D00000X
Psychologist - Clinical — Clinical	103TC0700X	Primary

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