Healthcare Provider Details

I. General information

NPI: 1265009450
Provider Name (Legal Business Name): CASSANDRA ALLEN EDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/07/2021
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3535 S BASHA RD
CHANDLER AZ
85248-4901
US

IV. Provider business mailing address

1050 E ARMSTRONG WAY
CHANDLER AZ
85286-1887
US

V. Phone/Fax

Practice location:
  • Phone: 480-883-4427
  • Fax:
Mailing address:
  • Phone: 928-266-8740
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: