Provider Demographics
NPI:1154440980
Name:OWENS, CASSANDRA BREANN (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:CASSANDRA
Middle Name:BREANN
Last Name:OWENS
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24418 LAKE DR
Mailing Address - Street 2:
Mailing Address - City:ANGIE
Mailing Address - State:LA
Mailing Address - Zip Code:70426-5501
Mailing Address - Country:US
Mailing Address - Phone:601-441-0196
Mailing Address - Fax:
Practice Address - Street 1:804 CLEVELAND ST
Practice Address - Street 2:
Practice Address - City:FRANKLINTON
Practice Address - State:LA
Practice Address - Zip Code:70438-7100
Practice Address - Country:US
Practice Address - Phone:985-839-9816
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSS3111235Z00000X
LA9194235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist