Provider Demographics
NPI:1437729019
Name:BARRETT, CASSANDRA M (PHD, MS GC)
Entity type:Individual
Prefix:DR
First Name:CASSANDRA
Middle Name:M
Last Name:BARRETT
Suffix:
Gender:F
Credentials:PHD, MS GC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:326 10 1/2 ST NW UNIT B
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22903-2320
Mailing Address - Country:US
Mailing Address - Phone:434-297-4298
Mailing Address - Fax:
Practice Address - Street 1:1221 LEE ST PRIMARY CARE RM G101B
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22908-0001
Practice Address - Country:US
Practice Address - Phone:434-297-4298
Practice Address - Fax:434-297-4238
Is Sole Proprietor?:No
Enumeration Date:2021-06-28
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0140000025170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS