Provider Demographics
NPI:1326178492
Name:ROWLAND, CASSANDRA JANE (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:JANE
Last Name:ROWLAND
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3357 KY ROUTE 1092
Mailing Address - Street 2:
Mailing Address - City:FLATGAP
Mailing Address - State:KY
Mailing Address - Zip Code:41219-9623
Mailing Address - Country:US
Mailing Address - Phone:606-265-4448
Mailing Address - Fax:606-265-4409
Practice Address - Street 1:3357 KY ROUTE 1092
Practice Address - Street 2:
Practice Address - City:FLATGAP
Practice Address - State:KY
Practice Address - Zip Code:41219-9623
Practice Address - Country:US
Practice Address - Phone:606-265-4448
Practice Address - Fax:606-265-4409
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-2903235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist