Provider Demographics
NPI:1245226240
Name:WOZNIAK, CASSANDRA (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:
Last Name:WOZNIAK
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6598 163RD PL SE
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98006-5128
Mailing Address - Country:US
Mailing Address - Phone:425-746-1456
Mailing Address - Fax:
Practice Address - Street 1:14925 SE ALLEN RD
Practice Address - Street 2:SUITE 104B
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98006-1643
Practice Address - Country:US
Practice Address - Phone:425-614-0260
Practice Address - Fax:425-614-0260
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL00003209235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist