Provider Demographics
NPI:1053820878
Name:ROSILE, CASSANDRA GUARNEROS (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:CASSANDRA
Middle Name:GUARNEROS
Last Name:ROSILE
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:523 E ENGLER ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-5551
Mailing Address - Country:US
Mailing Address - Phone:614-289-8805
Mailing Address - Fax:614-289-8805
Practice Address - Street 1:523 E ENGLER ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-5551
Practice Address - Country:US
Practice Address - Phone:614-289-8805
Practice Address - Fax:614-289-8805
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-25
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP.12082235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist