Healthcare Provider Details

I. General information

NPI: 1073873501
Provider Name (Legal Business Name): CASSANDRA LYNN DURNAN M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2012
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1276 E CENTURY AVE
GILBERT AZ
85296-1304
US

IV. Provider business mailing address

1276 E CENTURY AVE
GILBERT AZ
85296-1304
US

V. Phone/Fax

Practice location:
  • Phone: 602-568-7420
  • Fax:
Mailing address:
  • Phone: 602-568-7420
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number32373
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License NumberSLP7246
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: