Doctor Name: | MS. RENEE CASSIDY |
NPI Number: | 1023157377 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | SLP4848 |
Business Practice Address: | 11279 W Grier Rd Musd Special Education Marana, AZ - 856539609 |
Business Phone Number: | 5206824782 |
Business Fax Number: | 5206824818 |
Mailing Address: | 8133 N Night Pony Dr, TUCSON |
State: | AZ |
Postal Code: | 857437428 |
Phone Number: | 5207430431 |
Fax Number: | |
NPI Enumeration Date: | 02/05/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP4848 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |