Provider Demographics
NPI:1578249470
Name:GURGANUS, CASSANDRA ANN
Entity type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:ANN
Last Name:GURGANUS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 TECHNOLOGY PKWY STE 3200
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-9426
Mailing Address - Country:US
Mailing Address - Phone:717-988-1428
Mailing Address - Fax:717-221-5562
Practice Address - Street 1:2020 TECHNOLOGY PKWY STE 3200
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050-9426
Practice Address - Country:US
Practice Address - Phone:717-988-1428
Practice Address - Fax:717-221-5562
Is Sole Proprietor?:No
Enumeration Date:2023-06-26
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALGC192170300000X
PAGC001056170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS