Provider Demographics
NPI:1417117862
Name:ESTEP, CASSANDRA GAIL
Entity Type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:GAIL
Last Name:ESTEP
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 BLACKBERRY CT
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-7876
Mailing Address - Country:US
Mailing Address - Phone:915-588-9524
Mailing Address - Fax:915-592-1729
Practice Address - Street 1:1301 BLACKBERRY CT
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-7876
Practice Address - Country:US
Practice Address - Phone:915-588-9524
Practice Address - Fax:915-592-1729
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-10
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18923235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist