Cassada, Jessie L

Cassada, Jessie L is an individual health care provider with primary practice located at 44 Birch St Ste 304A , Derry NH 03038-2752. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Cassada, Jessie L can be contacted via phone (603) 432-8104.

Contact Information

Primary practice address
44 Birch St Ste 304A Derry NH 03038-2752
Phone: (603) 432-8104
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 998 Massachusetts
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 8052577 Vermont
Speech, Language and Hearing Service Providers / Audiologist 231H00000X A587 New Hampshire

Profile Details

NPI number 1538471685
LBN Legal business name Cassada, Jessie L
Credentials AU.D., F-AAA
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2010
Last updated Apr 17th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538471685 NPPES
Massachusetts MEDICAID 110094374A
Massachusetts MEDICAID 1022109

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