Provider Demographics
NPI:1275202301
Name:LAYMAN, CASSANDRA MARIE (MS/CCC-SLP)
Entity Type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:MARIE
Last Name:LAYMAN
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 1:175 RIM DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH FORK
Mailing Address - State:PA
Mailing Address - Zip Code:15956-4022
Mailing Address - Country:US
Mailing Address - Phone:814-248-9358
Mailing Address - Fax:
Practice Address - Street 1:175 RIM DR
Practice Address - Street 2:
Practice Address - City:SOUTH FORK
Practice Address - State:PA
Practice Address - Zip Code:15956-4022
Practice Address - Country:US
Practice Address - Phone:814-248-9358
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-11
Last Update Date:2021-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL011548235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist