Phoenix, Cassidy

Phoenix, Cassidy is an sole proprietor health care provider with primary practice located at 37 Oceanic Ln , Lake Havasu City AZ 86403-5434. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Assistant, which is considered as her primary health care specialty. Phoenix, Cassidy can be contacted via phone (702) 501-1143.

Contact Information

Primary practice address
37 Oceanic Ln Lake Havasu City AZ 86403-5434
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X SLPA10517 Arizona

Profile Details

NPI number 1255865648
LBN Legal business name Phoenix, Cassidy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 12th, 2017
Last updated May 25th, 2021 - about 5 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.

Request for update

Popular Providers