Provider Demographics
NPI:1295543205
Name:MYNATT, CASSANDRA (PHD)
Entity type:Individual
Prefix:DR
First Name:CASSANDRA
Middle Name:
Last Name:MYNATT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5019 CURTIS DR
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35215-4049
Mailing Address - Country:US
Mailing Address - Phone:205-396-9223
Mailing Address - Fax:
Practice Address - Street 1:5019 CURTIS DR
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35215-4049
Practice Address - Country:US
Practice Address - Phone:205-396-9223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-23
Last Update Date:2024-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion
No172V00000XOther Service ProvidersCommunity Health Worker
No174H00000XOther Service ProvidersHealth Educator
No376J00000XNursing Service Related ProvidersHomemaker