Provider Demographics
NPI:1487651188
Name:MAURITSEN, CASSIE COHEN (AUD)
Entity type:Individual
Prefix:DR
First Name:CASSIE
Middle Name:COHEN
Last Name:MAURITSEN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8416 WILSHIRE PL
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23060-3286
Mailing Address - Country:US
Mailing Address - Phone:404-309-5159
Mailing Address - Fax:
Practice Address - Street 1:7275 GLEN FOREST DR STE 208
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-3779
Practice Address - Country:US
Practice Address - Phone:804-282-0022
Practice Address - Fax:804-282-2441
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2101000853237700000X
VA2201000585231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA64BCBNJMedicare ID - Type Unspecified