Provider Demographics
NPI:1053859157
Name:CESARE, CASANDRA L (BS, MS)
Entity Type:Individual
Prefix:
First Name:CASANDRA
Middle Name:L
Last Name:CESARE
Suffix:
Gender:F
Credentials:BS, MS
Other - Prefix:
Other - First Name:CASANDRA
Other - Middle Name:L
Other - Last Name:CRAIG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS, MS
Mailing Address - Street 1:1504 BARKSDALE BLVD
Mailing Address - Street 2:
Mailing Address - City:BOSSIER CITY
Mailing Address - State:LA
Mailing Address - Zip Code:71111-4602
Mailing Address - Country:US
Mailing Address - Phone:318-222-4299
Mailing Address - Fax:
Practice Address - Street 1:1504 BARKSDALE BLVD
Practice Address - Street 2:
Practice Address - City:BOSSIER CITY
Practice Address - State:LA
Practice Address - Zip Code:71111-4602
Practice Address - Country:US
Practice Address - Phone:318-222-4299
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-08
Last Update Date:2019-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator