Provider Demographics
NPI:1205551041
Name:HOCKERSMITH, CASSANDRA MARIE
Entity type:Individual
Prefix:MS
First Name:CASSANDRA
Middle Name:MARIE
Last Name:HOCKERSMITH
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 1:580 REED CT
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46143-8429
Mailing Address - Country:US
Mailing Address - Phone:317-200-7253
Mailing Address - Fax:
Practice Address - Street 1:580 REED CT
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46143-8429
Practice Address - Country:US
Practice Address - Phone:317-200-7253
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-04
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist