Provider Demographics
NPI:1417119934
Name:BILLIET, CASSANDRA RAE (AUD)
Entity type:Individual
Prefix:MRS
First Name:CASSANDRA
Middle Name:RAE
Last Name:BILLIET
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5300 ANNAPOLIS LN N APT 4103
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55446-3617
Mailing Address - Country:US
Mailing Address - Phone:605-670-9358
Mailing Address - Fax:
Practice Address - Street 1:5300 ANNAPOLIS LN N APT 4103
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55446-3617
Practice Address - Country:US
Practice Address - Phone:605-670-9358
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-26
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN8162237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter