Provider Demographics
NPI:1659625473
Name:KING, CASSIDAE LYNN (AUD)
Entity Type:Individual
Prefix:DR
First Name:CASSIDAE
Middle Name:LYNN
Last Name:KING
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:CASSIDAE
Other - Middle Name:LYNN
Other - Last Name:BUCKMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:800 E CALIFORNIA ST STE 4
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76240-4200
Mailing Address - Country:US
Mailing Address - Phone:903-868-2650
Mailing Address - Fax:
Practice Address - Street 1:800 E. CALIFORNIA ST. SUITE 4
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:TX
Practice Address - Zip Code:76240-4763
Practice Address - Country:US
Practice Address - Phone:903-868-2650
Practice Address - Fax:903-870-0229
Is Sole Proprietor?:No
Enumeration Date:2012-10-31
Last Update Date:2016-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80428231H00000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist