Provider Demographics
NPI:1215147848
Name:SAXON, CASSANDRA L (RD)
Entity type:Individual
Prefix:MRS
First Name:CASSANDRA
Middle Name:L
Last Name:SAXON
Suffix:
Gender:F
Credentials:RD
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:615 S NEW BALLAS RD
Mailing Address - Street 2:GROUND FLOOR SUITE Y-G230
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-8221
Mailing Address - Country:US
Mailing Address - Phone:314-251-5550
Mailing Address - Fax:314-251-5552
Practice Address - Street 1:615 S NEW BALLAS RD
Practice Address - Street 2:GROUND FLOOR SUITE Y-G230
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-8221
Practice Address - Country:US
Practice Address - Phone:314-251-5550
Practice Address - Fax:314-251-5552
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2007010951133VN1004X, 133VN1004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1004XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Pediatric