National Provider Identifier

Cassondra Marie Conrad

Cassondra Marie Conrad is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Buffalo, NY and a listed phone number of (716) 885-3838.

NPI 1497419089Buffalo, NYSpeech-Language Pathologist

Profile Overview

NPI
1497419089
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
October 28, 2021
Last Updated
October 28, 2021

Practice Location

  • 1205 Delaware Ave
  • Buffalo, NY 14209-1401

Phone: (716) 885-3838

Mailing Address

  • 9520 Main St Apt C
  • Clarence, NY 14031-1983

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1497419089
Entity Type
Individual
Last Name
Conrad
First Name
Cassondra
Middle Name
Marie
Mailing Street Address
9520 Main St Apt C
Mailing City
Clarence
Mailing State
NY
Mailing ZIP Code
14031-1983
Mailing Country
US
Practice Street Address
1205 Delaware Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14209-1401
Practice Country
US
Practice Phone
(716) 885-3838
Enumeration Date
October 28, 2021
Last Updated
October 28, 2021
Sex
Female
Sole Proprietor
No
Certification Date
October 28, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)