Individual
CASSIE ELIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2555 N STAPLEY DR, MESA, AZ 85203-1127
(480) 472-5491
Mailing address
1025 N COUNTRY CLUB DR, MESA, AZ 85201-3307
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
SLPA9324
AZ
235Z00000X
Speech-Language Pathologist
Primary
TSLP9324
AZ
Other
Enumeration date
09/02/2015
Last updated
03/17/2018
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