Provider Demographics
NPI:1841845724
Name:COBB, CASSADY LEIGH (CF-SLP)
Entity type:Individual
Prefix:
First Name:CASSADY
Middle Name:LEIGH
Last Name:COBB
Suffix:
Gender:
Credentials:CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:181 LITTLE RIVER 67
Mailing Address - Street 2:
Mailing Address - City:ASHDOWN
Mailing Address - State:AR
Mailing Address - Zip Code:71822-9016
Mailing Address - Country:US
Mailing Address - Phone:870-784-3970
Mailing Address - Fax:
Practice Address - Street 1:117 E 2ND ST
Practice Address - Street 2:
Practice Address - City:HOPE
Practice Address - State:AR
Practice Address - Zip Code:71801-4402
Practice Address - Country:US
Practice Address - Phone:870-397-3010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-07
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR203012235Z00000X
AR2007462355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant