Provider Demographics
NPI:1588803118
Name:M. CASS THERAPY, INC.
Entity Type:Organization
Organization Name:M. CASS THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO AND SLP
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CASS
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:480-390-6121
Mailing Address - Street 1:1616 S STEELE ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-2940
Mailing Address - Country:US
Mailing Address - Phone:480-390-6121
Mailing Address - Fax:303-999-0862
Practice Address - Street 1:1616 S STEELE ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-2940
Practice Address - Country:US
Practice Address - Phone:480-390-6121
Practice Address - Fax:303-999-0862
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-04
Last Update Date:2009-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO7805OtherHCP CERTIFICATION NUMBER