Healthcare Provider Details

I. General information

NPI: 1992641765
Provider Name (Legal Business Name): CASSANDRA RUTH CALLAHAN CF-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CASSY CALLAHAN CF-SLP

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 W E ST
NORTH PLATTE NE
69101-1803
US

IV. Provider business mailing address

32687 S CALLAHAN RD
FARNAM NE
69029-7112
US

V. Phone/Fax

Practice location:
  • Phone: 308-534-2200
  • Fax:
Mailing address:
  • Phone: 308-539-5844
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: