Provider Demographics
NPI:1649973728
Name:CASSIO, CHLOE
Entity type:Individual
Prefix:
First Name:CHLOE
Middle Name:
Last Name:CASSIO
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 1:901 N NELSON ST APT 1006
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22203-1735
Mailing Address - Country:US
Mailing Address - Phone:303-717-0313
Mailing Address - Fax:
Practice Address - Street 1:2141 WISCONSIN AVE NW # M
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007-2275
Practice Address - Country:US
Practice Address - Phone:202-643-8250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-27
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCSLP200001440235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist