Provider Demographics
NPI:1437341492
Name:ALTER, CASSI (MA-CCC)
Entity Type:Individual
Prefix:
First Name:CASSI
Middle Name:
Last Name:ALTER
Suffix:
Gender:F
Credentials:MA-CCC
Other - Prefix:
Other - First Name:CASSI
Other - Middle Name:
Other - Last Name:ALTER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA-CCC
Mailing Address - Street 1:117 N HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90036-3030
Mailing Address - Country:US
Mailing Address - Phone:323-954-0887
Mailing Address - Fax:323-954-0887
Practice Address - Street 1:117 N HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90036-3030
Practice Address - Country:US
Practice Address - Phone:323-954-0887
Practice Address - Fax:323-954-0887
Is Sole Proprietor?:No
Enumeration Date:2007-08-14
Last Update Date:2007-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP. 10213235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist