Provider Demographics
NPI:1447607031
Name:FLEISCHMAN, CASANDRA JEAN (MS)
Entity Type:Individual
Prefix:
First Name:CASANDRA
Middle Name:JEAN
Last Name:FLEISCHMAN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:CASANDRA
Other - Middle Name:JEAN
Other - Last Name:REYNOLDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8201 MISH KO SWEN DR
Mailing Address - Street 2:
Mailing Address - City:CRANDON
Mailing Address - State:WI
Mailing Address - Zip Code:54520-8631
Mailing Address - Country:US
Mailing Address - Phone:715-478-4344
Mailing Address - Fax:
Practice Address - Street 1:5416 EVERYBODYS RD
Practice Address - Street 2:
Practice Address - City:CRANDON
Practice Address - State:WI
Practice Address - Zip Code:54520-8627
Practice Address - Country:US
Practice Address - Phone:715-478-7200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-24
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4256 - 154235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist