Provider Demographics
NPI:1467181263
Name:BARRISH, CASSIE CHRISTINE (MAED, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:CASSIE
Middle Name:CHRISTINE
Last Name:BARRISH
Suffix:
Gender:F
Credentials:MAED, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:448 LEWIS HARGETT CIR STE 100
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-3900
Mailing Address - Country:US
Mailing Address - Phone:502-387-5683
Mailing Address - Fax:
Practice Address - Street 1:448 LEWIS HARGETT CIR STE 100
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-3900
Practice Address - Country:US
Practice Address - Phone:502-387-5683
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-07
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY265613235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist