Provider Demographics
NPI:1114598869
Name:KARL, CASSANDRA NATALIE (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:NATALIE
Last Name:KARL
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:CASSANDRA
Other - Middle Name:KARL
Other - Last Name:GOLASINSKI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:1110 GRIMSWORTH LN
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75002-5826
Mailing Address - Country:US
Mailing Address - Phone:972-885-7062
Mailing Address - Fax:
Practice Address - Street 1:1110 GRIMSWORTH LN
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75002-5826
Practice Address - Country:US
Practice Address - Phone:210-896-6260
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-04
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX115330235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist