CASSIDY PHOENIX NPI 1255865648

NPI Information

NPI: 1255865648
Provider Name: CASSIDY PHOENIX
Classification: Specialist/Technologist - 2355S0801X
Entity Type: Individual

Specialization: Speech-Language Assistant

Address:
37 OCEANIC LN
LAKE HAVASU CITY, AZ
ZIP 86403
Phone: (702) 501-1143
Get Directions

Cassidy Phoenix is a speech-language assistant specialist technologist in Lake Havasu City, AZ. Cassidy Phoenix NPI is 1255865648. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

37 OCEANIC LN
LAKE HAVASU CITY, AZ
ZIP 86403-434
Phone: (702) 501-1143

The enumeration date for this NPI number is 4/12/2017 and was last updated on 5/25/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2355S0801X	Specialist/Technologist	Speech-Language Assistant	SLPA10517	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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