Provider Demographics
NPI:1992423099
Name:BELLARD, CASSIDY ANNE (MS, CCC, SLP)
Entity type:Individual
Prefix:
First Name:CASSIDY
Middle Name:ANNE
Last Name:BELLARD
Suffix:
Gender:F
Credentials:MS, CCC, SLP
Other - Prefix:
Other - First Name:CASSIDY
Other - Middle Name:ANNE
Other - Last Name:FARNSWORTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC, SLP
Mailing Address - Street 1:4750 LAKE ST
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70605-6008
Mailing Address - Country:US
Mailing Address - Phone:337-477-7882
Mailing Address - Fax:337-477-7812
Practice Address - Street 1:4750 LAKE ST
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70605-6008
Practice Address - Country:US
Practice Address - Phone:337-477-7883
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-16
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA9105235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist