| Cassandra Grant, | |
|
3100 Washington Rd, Kenosha, WI 53144-1604 | |
| (414) 507-9646 | |
| Not Available |
| Full Name | Cassandra Grant |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 3100 Washington Rd, Kenosha, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255988812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Paxxon Healthcare Services LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1003174087 PECOS PAC ID: 8325959554 Enrollment ID: O20130917000750 |
| Mailing Address | Practice Location Address |
|---|---|
| Cassandra Grant, 1522 E Falcon Gln, Oak Creek, WI 53154-3958 Ph: Not Available | Cassandra Grant, 3100 Washington Rd, Kenosha, WI 53144-1604 Ph: (414) 507-9646 |
Mrs. Auburn Lea Andes, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6300 67th St, Kenosha, WI 53142 Phone: 262-484-4724 |
Noel Zanotti, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8400 Sheridan Rd, Kenosha, WI 53143 Phone: 262-658-4141 Fax: 262-658-0618 |
Jacqueline Ann Kubis, SLP- CFY Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3415 Sheridan Road, Kenosha, WI 53140 Phone: 262-653-2941 |
Joanne Sheen, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6400 15th Ave, Kenosha, WI 53143 Phone: 262-359-8026 |
Diane Arndt, SPEECH THERAPIST Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5219 88th Ave, Kenosha, WI 53144 Phone: 262-653-0850 |
Kaitlyn King, MS, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5219 88th Ave., Kenosha, WI 53144 Phone: 262-653-0850 |
Tarah A Fedenia, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8400 Sheridan Rd, Kenosha, WI 53143 Phone: 262-658-4141 |