Healthcare Provider Details

I. General information

NPI: 1558241208
Provider Name (Legal Business Name): CASSANDRA DAWN SNIDER M.S. CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2025
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

83346 S 4700 RD
STILWELL OK
74960-9341
US

IV. Provider business mailing address

2263 HIGHWAY 62
WESTVILLE OK
74965-5485
US

V. Phone/Fax

Practice location:
  • Phone: 918-696-7001
  • Fax:
Mailing address:
  • Phone: 918-398-3519
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number203302
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number6771
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: