Provider Demographics
NPI:1952539868
Name:CASSELL, TRACY (MS)
Entity Type:Individual
Prefix:MRS
First Name:TRACY
Middle Name:
Last Name:CASSELL
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:TRACY
Other - Middle Name:
Other - Last Name:RAZZANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1 WHISPERING HILLS DR
Mailing Address - Street 2:
Mailing Address - City:CLIFTON PARK
Mailing Address - State:NY
Mailing Address - Zip Code:12065-2305
Mailing Address - Country:US
Mailing Address - Phone:518-727-6021
Mailing Address - Fax:
Practice Address - Street 1:255 HIGHLAND AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02494-3023
Practice Address - Country:US
Practice Address - Phone:781-449-1884
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-30
Last Update Date:2014-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist