Provider Demographics
NPI:1053867499
Name:BIRDSALL-SCHERER, CASSANDRA (MS)
Entity Type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:
Last Name:BIRDSALL-SCHERER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11316 S 170TH ST
Mailing Address - Street 2:
Mailing Address - City:GRETNA
Mailing Address - State:NE
Mailing Address - Zip Code:68028-3841
Mailing Address - Country:US
Mailing Address - Phone:402-499-1366
Mailing Address - Fax:
Practice Address - Street 1:11316 S 170TH ST
Practice Address - Street 2:
Practice Address - City:GRETNA
Practice Address - State:NE
Practice Address - Zip Code:68028-3841
Practice Address - Country:US
Practice Address - Phone:402-499-1366
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-26
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
235Z00000X
NE2031235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist