Provider Demographics
NPI:1942582796
Name:SCHOMSKE, CASSONDRA (MA CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:CASSONDRA
Middle Name:
Last Name:SCHOMSKE
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 1:2075 TRANSIT RD
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:NY
Mailing Address - Zip Code:14477-9743
Mailing Address - Country:US
Mailing Address - Phone:585-590-0112
Mailing Address - Fax:
Practice Address - Street 1:324 EAST AVE
Practice Address - Street 2:
Practice Address - City:ALBION
Practice Address - State:NY
Practice Address - Zip Code:14411-1600
Practice Address - Country:US
Practice Address - Phone:585-589-2056
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-16
Last Update Date:2011-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016749-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist