Provider Demographics
NPI:1184342461
Name:TRETTER, CASSANDRA ANN (CCC-SLP)
Entity type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:ANN
Last Name:TRETTER
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:CASSANDRA
Other - Middle Name:ANN
Other - Last Name:WEST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:136 LANCASTER WAY
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HILL
Mailing Address - State:GA
Mailing Address - Zip Code:31324-4455
Mailing Address - Country:US
Mailing Address - Phone:814-289-1457
Mailing Address - Fax:
Practice Address - Street 1:413 W MONTGOMERY XRD STE 102
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-4321
Practice Address - Country:US
Practice Address - Phone:912-354-4474
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-22
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist