Provider Demographics
NPI:1548381593
Name:CADE, CINDY ANNELISE (MA CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:CINDY
Middle Name:ANNELISE
Last Name:CADE
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 1:24023 FAIRVIEW RD
Mailing Address - Street 2:
Mailing Address - City:CAPE CHARLES
Mailing Address - State:VA
Mailing Address - Zip Code:23310-2153
Mailing Address - Country:US
Mailing Address - Phone:757-678-5151
Mailing Address - Fax:
Practice Address - Street 1:24023 FAIRVIEW RD
Practice Address - Street 2:
Practice Address - City:CAPE CHARLES
Practice Address - State:VA
Practice Address - Zip Code:23310-2153
Practice Address - Country:US
Practice Address - Phone:757-678-5151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2018-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202006781235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist