Provider Demographics
NPI:1154557288
Name:NORWOOD, CASSANDRA JONELLE
Entity type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:JONELLE
Last Name:NORWOOD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2714 UNION AVENUE EXTENDED
Mailing Address - Street 2:SUITE 400
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38112
Mailing Address - Country:US
Mailing Address - Phone:901-320-6140
Mailing Address - Fax:901-320-6101
Practice Address - Street 1:2714 UNION AVENUE EXTENDED
Practice Address - Street 2:SUITE 400
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38112
Practice Address - Country:US
Practice Address - Phone:901-320-6140
Practice Address - Fax:901-320-6101
Is Sole Proprietor?:No
Enumeration Date:2009-06-03
Last Update Date:2009-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health