Provider Demographics
NPI:1730615196
Name:DISCH, CASSIE
Entity type:Individual
Prefix:
First Name:CASSIE
Middle Name:
Last Name:DISCH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CASSANDRA
Other - Middle Name:
Other - Last Name:DISCH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:900 MISSOURI RD
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:AR
Mailing Address - Zip Code:72933-3023
Mailing Address - Country:US
Mailing Address - Phone:479-275-9214
Mailing Address - Fax:
Practice Address - Street 1:900 MISSOURI RD
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:AR
Practice Address - Zip Code:72933-3023
Practice Address - Country:US
Practice Address - Phone:479-275-9214
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-04
Last Update Date:2017-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula