Individual
CASSONDRA JEAN EDEN LITTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
906 ORCHARD RD, MOUNT BETHEL, PA 18343-5106
(570) 977-6118
Mailing address
PO BOX 286, MOUNT BETHEL, PA 18343-0286
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL013688
PA
Other
Enumeration date
11/30/2017
Last updated
11/30/2017
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