Healthcare Provider Details
I. General information
NPI: 1841845724
Provider Name (Legal Business Name): CASSADY LEIGH COBB CF-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/07/2019
Last Update Date: 03/18/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
117 E 2ND ST
HOPE AR
71801-4402
US
IV. Provider business mailing address
181 LITTLE RIVER 67
ASHDOWN AR
71822-9016
US
V. Phone/Fax
- Phone: 870-397-3010
- Fax:
- Phone: 870-784-3970
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2355S0801X |
| Taxonomy | Speech-Language Assistant |
| License Number | 200746 |
| License Number State | AR |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | 203012 |
| License Number State | AR |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: