National Provider Identifier
Cassidy Jackson, M.S., CCC-SLP
Cassidy Jackson, M.S., CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Newark, NY and a listed phone number of (315) 332-7400.
Profile Overview
- NPI
- 1538890835
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- June 19, 2022
- Last Updated
- October 07, 2025
Practice Location
- 131 Drumlin Ct
- Newark, NY 14513-1863
Phone: (315) 332-7400
Mailing Address
- 105 Watson Dr
- Warrendale, PA 15086-1110
Specialties
- Speech-Language Pathologist (235Z00000X)
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1538890835
- Entity Type
- Individual
- Last Name
- Jackson
- First Name
- Cassidy
- Credential
- M.S., CCC-SLP
- Provider Other Last Name
- Siwik
- Provider Other First Name
- Cassidy
- Provider Other Credential Text
- MS., CCC-SLP
- Provider Other Last Name Type Code
- 5
- Mailing Street Address
- 105 Watson Dr
- Mailing City
- Warrendale
- Mailing State
- PA
- Mailing ZIP Code
- 15086-1110
- Mailing Country
- US
- Mailing Phone
- (412) 552-9578
- Practice Street Address
- 131 Drumlin Ct
- Practice City
- Newark
- Practice State
- NY
- Practice ZIP Code
- 14513-1863
- Practice Country
- US
- Practice Phone
- (315) 332-7400
- Enumeration Date
- June 19, 2022
- Last Updated
- October 07, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- October 07, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X), Speech-Language Pathologist (235Z00000X)