Provider Demographics
NPI:1548630874
Name:BUSCHE, CASSANDRA (MA, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:CASSANDRA
Middle Name:
Last Name:BUSCHE
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 ARNOLD AVE
Mailing Address - Street 2:
Mailing Address - City:WEST BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11704-7702
Mailing Address - Country:US
Mailing Address - Phone:631-697-5803
Mailing Address - Fax:
Practice Address - Street 1:35 YAPHANK MIDDLE ISLAND RD
Practice Address - Street 2:
Practice Address - City:MIDDLE ISLAND
Practice Address - State:NY
Practice Address - Zip Code:11953-2369
Practice Address - Country:US
Practice Address - Phone:631-345-2173
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-29
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist