Provider Demographics
NPI:1184145971
Name:FELTNER, CASSANDRA BETH
Entity type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:BETH
Last Name:FELTNER
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 1:3107 SUNFIELD CIR
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40241-6515
Mailing Address - Country:US
Mailing Address - Phone:606-438-7951
Mailing Address - Fax:
Practice Address - Street 1:3900 S DUPONT SQ STE D
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-5600
Practice Address - Country:US
Practice Address - Phone:502-371-9940
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-30
Last Update Date:2017-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY173804231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist