Healthcare Provider Details

I. General information

NPI: 1154558229
Provider Name (Legal Business Name): CASSANDRA ROSE WINSLOW SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2009
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 DAKOTA AVE
SANTA CRUZ CA
95060-4101
US

IV. Provider business mailing address

6404 HICKORY AVE
ORANGEVALE CA
95662-3919
US

V. Phone/Fax

Practice location:
  • Phone: 831-297-0255
  • Fax:
Mailing address:
  • Phone: 831-297-0255
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number18134
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: