Provider Demographics
NPI:1932478633
Name:PIERRE-LOUIS, CASSANDRA MELISSA
Entity Type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:MELISSA
Last Name:PIERRE-LOUIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 WINTHROP ST APT 2
Mailing Address - Street 2:
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02301-5223
Mailing Address - Country:US
Mailing Address - Phone:774-274-3917
Mailing Address - Fax:
Practice Address - Street 1:250 TURNPIKE ST
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MA
Practice Address - Zip Code:02021-2359
Practice Address - Country:US
Practice Address - Phone:781-828-2202
Practice Address - Fax:781-828-2804
Is Sole Proprietor?:No
Enumeration Date:2011-12-26
Last Update Date:2011-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program