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NPI Code Detail

MEDICARE: CASSANDRA ANN PENNINGTON

MEDICARE: CASSANDRA ANN PENNINGTON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12355S0801XSpeech-Language Assistant9680CA

General Provider Information

NPI Number : 1235737230
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASSANDRA ANN PENNINGTON
Provider Business Mailing Address
First Line : 721 22ND ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95816-4075
Country : US
Telephone Number : 916-769-5276
Fax Number :
Provider Business Practice Location Address
First Line : 2741 RIVERSIDE BLVD
Second Line :
City : SACRAMENTO
State : CA
Zip : 95818-2900
Country : US
Telephone Number : 916-426-6005
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2020
Last Update Date : 12/23/2025

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Directions to “ CASSANDRA ANN PENNINGTON ” Practice Location

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