Healthcare Provider Details

I. General information

NPI: 1427513738
Provider Name (Legal Business Name): ARLENE L CASASSA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2019
Last Update Date: 01/31/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

271 POND ST
HOPKINTON MA
01748-1509
US

IV. Provider business mailing address

5 N MEADOWS RD
MEDFIELD MA
02052-2317
US

V. Phone/Fax

Practice location:
  • Phone: 508-435-3144
  • Fax:
Mailing address:
  • Phone: 508-359-4532
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code102X00000X
TaxonomyPoetry Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number3077
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StateMA
# 5
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number3077
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: