Healthcare Provider Details

I. General information

NPI: 1255986782
Provider Name (Legal Business Name): RANA CASSADY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2019
Last Update Date: 11/11/2024
Certification Date: 11/11/2024
Deactivation Date: 10/10/2024
Reactivation Date: 10/17/2024

III. Provider practice location address

5050 MADISON RD
CINCINNATI OH
45227-1491
US

IV. Provider business mailing address

4464 S DIXIE HWY
MIDDLETOWN OH
45005-5464
US

V. Phone/Fax

Practice location:
  • Phone: 513-649-8008
  • Fax:
Mailing address:
  • Phone: 513-649-8008
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: