Cassidy Phoenix
NPI #1255865648 in Lake Havasu City, Arizona
Provider Information
- NPI Number
- 1255865648
- Entity Type
- Individual
- Name
- Cassidy Phoenix
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Speech-Language Assistant
- Enumeration Date
- Apr 12, 2017
- Last Updated
- May 25, 2021
Practice Location
- Address
- 37 OCEANIC LN
- City
- Lake Havasu City
- State
- Arizona
- ZIP Code
- 86403-5434
- Phone
- (702) 501-1143
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Speech-Language Assistant — Speech-Language Assistant |
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