Cassidy, Mckenzie Elaine

Cassidy, Mckenzie Elaine is an individual health care provider with primary practice located at 411 E Chestnut St # 2 , Louisville KY 40202-1713. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Cassidy, Mckenzie Elaine can be contacted via phone (502) 588-0850.

Contact Information

Primary practice address
411 E Chestnut St # 2 Louisville KY 40202-1713
Phone: (502) 588-0850
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1922598911
LBN Legal business name Cassidy, Mckenzie Elaine
Credentials M.S.-CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2018
Last updated Mar 13th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922598911 NPPES
Indiana MEDICAID 300046593
Indiana MEDICAID 7100551330

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