Provider Demographics
NPI:1881837771
Name:SWEANEY, CASSANDRA LOUISE (MA, CCC-SLP)
Entity Type:Individual
Prefix:MISS
First Name:CASSANDRA
Middle Name:LOUISE
Last Name:SWEANEY
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1945 AVENIDA DEL ORO STE 120
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92056-5828
Mailing Address - Country:US
Mailing Address - Phone:760-945-6500
Mailing Address - Fax:
Practice Address - Street 1:1945 AVENIDA DEL ORO STE 120
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92056-5828
Practice Address - Country:US
Practice Address - Phone:760-945-6500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-08
Last Update Date:2011-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP15738235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist