Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JENNIE MAY CASSIDY, PH.D.
Active Sole ProprietorDR. JENNIE MAY CASSIDY, PH.D. is a Geriatric Psychologist healthcare provider located in CONWAY, South Carolina. NPI 1184752495 is currently active in the NPPES registry. Verify at CMS.
Geriatric Psychologist · CONWAY, SC
Registration Details
- NPI Number
- 1184752495
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 28, 2007 (19.443525426146 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
1042 (SC)1042 (SC)1042 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
204 UNIVERSITY BLVD.COASTAL CAROLINA UNIVERSITYCONWAY, SC, 295286054Browse SC providers · Browse ZIP 29528
- Phone
- 8433492305
- Fax
- 8433492898
- Primary Specialty
-
Geriatric Psychologist
103TP2701X
- Additional Specialty
- Psychologist
- Additional Specialty
- Geriatric Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.