Provider Demographics
NPI:1437411105
Name:HESSE, CARA MARIE (MA-CCC-SLP)
Entity Type:Individual
Prefix:
First Name:CARA
Middle Name:MARIE
Last Name:HESSE
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 1:3246 BRUSHWOOD CT
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33761-2303
Mailing Address - Country:US
Mailing Address - Phone:727-238-5575
Mailing Address - Fax:
Practice Address - Street 1:3246 BRUSHWOOD CT
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33761-2303
Practice Address - Country:US
Practice Address - Phone:727-238-5575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-08
Last Update Date:2024-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH10214235Z00000X
MO2011035528235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist