Provider Demographics
NPI:1023433430
Name:CASSATT, EDITH
Entity type:Individual
Prefix:
First Name:EDITH
Middle Name:
Last Name:CASSATT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:E
Other - Middle Name:LUCINDA
Other - Last Name:CASSATT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:5019 NORRISVILLE RD
Mailing Address - Street 2:
Mailing Address - City:WHITE HALL
Mailing Address - State:MD
Mailing Address - Zip Code:21161-9503
Mailing Address - Country:US
Mailing Address - Phone:410-456-2122
Mailing Address - Fax:
Practice Address - Street 1:1780 KENDARBREN DR
Practice Address - Street 2:INVO HEALTHCARE ASSOCIATES
Practice Address - City:JAMISON
Practice Address - State:PA
Practice Address - Zip Code:18929-1064
Practice Address - Country:US
Practice Address - Phone:800-434-4686
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-20
Last Update Date:2014-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL011794235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist