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NPI Code Detail

MEDICARE: CASSANDRA RENEE-NEWTON SMITH MS, CCC-SLP

MEDICARE: CASSANDRA RENEE-NEWTON SMITH MS, CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist14907NC

General Provider Information

NPI Number : 1053004424
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASSANDRA RENEE-NEWTON SMITH MS, CCC-SLP
Provider Business Mailing Address
First Line : PO BOX 248
Second Line :
City : KANNAPOLIS
State : NC
Zip : 28082-0248
Country : US
Telephone Number : 980-242-0690
Fax Number : 980-236-9380
Provider Business Practice Location Address
First Line : 1401 S RIDGE AVE
Second Line :
City : KANNAPOLIS
State : NC
Zip : 28083-6056
Country : US
Telephone Number : 980-242-0690
Fax Number : 980-236-9380
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2023
Last Update Date : 01/30/2026

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Directions to “ CASSANDRA RENEE-NEWTON SMITH MS, CCC-SLP” Practice Location

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