Provider Demographics
NPI:1871960278
Name:FISHER, CASSANDRA
Entity type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:
Last Name:FISHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99-040 KAUHALE ST
Mailing Address - Street 2:# 717
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-7230
Mailing Address - Country:US
Mailing Address - Phone:601-641-9594
Mailing Address - Fax:855-221-4467
Practice Address - Street 1:3049 UALENA ST STE 411
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96819-1946
Practice Address - Country:US
Practice Address - Phone:601-641-9594
Practice Address - Fax:855-221-4467
Is Sole Proprietor?:No
Enumeration Date:2015-09-01
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HISP-1489235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist