Individual
MRS. CASSIE ANNE SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
4625 N BROADWAY, STE 5, MINOT, ND 58703-5501
(701) 839-5656
(701) 839-9522
Mailing address
4625 N BROADWAY, STE 5, MINOT, ND 58703-5501
(701) 839-5656
(701) 839-9522
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1375
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1375
ND STATE SLP LICENSE
ND
05
—
1461483
—
ND
Enumeration date
09/06/2014
Last updated
04/30/2025
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