Provider Demographics
NPI:1881880490
Name:GARNER, CASSIE ANN (PHD)
Entity type:Individual
Prefix:
First Name:CASSIE
Middle Name:ANN
Last Name:GARNER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:CASSIE
Other - Middle Name:A
Other - Last Name:BURESH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10030 GREEN LEVEL CHURCH RD STE 808
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-8195
Mailing Address - Country:US
Mailing Address - Phone:919-303-4275
Mailing Address - Fax:919-303-4276
Practice Address - Street 1:1500 S 48TH ST
Practice Address - Street 2:SUITE 200
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-1276
Practice Address - Country:US
Practice Address - Phone:402-488-5600
Practice Address - Fax:402-488-7649
Is Sole Proprietor?:No
Enumeration Date:2007-09-18
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE259231H00000X
NC13891237600000X, 231H00000X
NE113237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter