Provider Demographics
NPI:1780413625
Name:HECK, CASSANDRA ALEXIS (AUD, CCC-A)
Entity type:Individual
Prefix:DR
First Name:CASSANDRA
Middle Name:ALEXIS
Last Name:HECK
Suffix:
Gender:
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6242 POPLAR AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38119-4730
Mailing Address - Country:US
Mailing Address - Phone:901-403-7147
Mailing Address - Fax:901-842-4330
Practice Address - Street 1:6242 POPLAR AVE STE 1
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-4730
Practice Address - Country:US
Practice Address - Phone:901-403-7147
Practice Address - Fax:901-842-4330
Is Sole Proprietor?:No
Enumeration Date:2024-07-30
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY2835231H00000X
TN2283231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist