Provider Demographics
NPI:1801469283
Name:CASKEY, SYDNEY M (AUD)
Entity type:Individual
Prefix:
First Name:SYDNEY
Middle Name:M
Last Name:CASKEY
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27483 DEQUINDRE RD STE 201
Mailing Address - Street 2:
Mailing Address - City:MADISON HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48071-5711
Mailing Address - Country:US
Mailing Address - Phone:248-569-5985
Mailing Address - Fax:248-336-8479
Practice Address - Street 1:27483 DEQUINDRE RD STE 201
Practice Address - Street 2:
Practice Address - City:MADISON HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48071-5711
Practice Address - Country:US
Practice Address - Phone:248-569-5985
Practice Address - Fax:248-336-8479
Is Sole Proprietor?:No
Enumeration Date:2021-07-22
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1601001104231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist