Provider Demographics
NPI:1093869166
Name:CAZDEN, JOANNA (MS-CCC)
Entity Type:Individual
Prefix:MS
First Name:JOANNA
Middle Name:
Last Name:CAZDEN
Suffix:
Gender:F
Credentials:MS-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:836 N CALIFORNIA ST
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-2919
Mailing Address - Country:US
Mailing Address - Phone:818-845-6654
Mailing Address - Fax:818-558-1116
Practice Address - Street 1:444 S SAN VICENTE BLVD
Practice Address - Street 2:# 701
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-4165
Practice Address - Country:US
Practice Address - Phone:310-423-9229
Practice Address - Fax:310-423-9290
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP-9219235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist