Provider Demographics
NPI:1528804895
Name:TENNITY, CASSIDY L (PHD)
Entity type:Individual
Prefix:DR
First Name:CASSIDY
Middle Name:L
Last Name:TENNITY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:295 NIAGARA ST APT 402
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14201-2172
Mailing Address - Country:US
Mailing Address - Phone:610-564-0900
Mailing Address - Fax:
Practice Address - Street 1:120 W EAGLE ST FL 1
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14202-3810
Practice Address - Country:US
Practice Address - Phone:716-858-8095
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-05
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program