Provider Demographics
NPI:1619747466
Name:ABBINANTI, CASSANDRA AMBER (AUD)
Entity Type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:AMBER
Last Name:ABBINANTI
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:CASSANDRA
Other - Middle Name:AMBER
Other - Last Name:LEVY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:255 E BONITA AVE
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91767-1933
Mailing Address - Country:US
Mailing Address - Phone:909-450-0304
Mailing Address - Fax:
Practice Address - Street 1:255 E BONITA AVE
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91767-1933
Practice Address - Country:US
Practice Address - Phone:909-450-0304
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-03
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3797231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist