Provider Demographics
NPI:1710504790
Name:COX, CASSIE (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:CASSIE
Middle Name:
Last Name:COX
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10600 N 400 E
Mailing Address - Street 2:
Mailing Address - City:DEMOTTE
Mailing Address - State:IN
Mailing Address - Zip Code:46310-9638
Mailing Address - Country:US
Mailing Address - Phone:219-798-8661
Mailing Address - Fax:
Practice Address - Street 1:10600 N 400 E
Practice Address - Street 2:
Practice Address - City:DEMOTTE
Practice Address - State:IN
Practice Address - Zip Code:46310-9638
Practice Address - Country:US
Practice Address - Phone:219-798-8661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-25
Last Update Date:2020-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist