Provider Demographics
NPI:1609412568
Name:ALLEN, CASSANDRA C (MHA, RDCS, RVT)
Entity Type:Individual
Prefix:MS
First Name:CASSANDRA
Middle Name:C
Last Name:ALLEN
Suffix:
Gender:F
Credentials:MHA, RDCS, RVT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 WESTMORELAND RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29229-6880
Mailing Address - Country:US
Mailing Address - Phone:803-845-0404
Mailing Address - Fax:
Practice Address - Street 1:600 WESTMORELAND RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29229-6880
Practice Address - Country:US
Practice Address - Phone:803-845-0404
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-25
Last Update Date:2019-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonography