Cassandra Brown

Individual provider Active NPI Developmental Therapist · Richmond, IN

NPI 1003683236 · NPPES record last updated Dec 7, 2023

Key facts

NPI
1003683236
Entity type
Individual (NPI type 1)
Primary specialty
Developmental Therapist 222Q00000X
Practice address
200 S 28TH St
Richmond, IN 47374-5813
Phone
(765) 977-4988
NPI assigned
Dec 7, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X Yes

Addresses

Primary practice location

200 S 28TH St
Richmond, IN 47374-5813

Mailing address

200 S 28TH St
Richmond, IN 47374-5813
Phone (765) 977-4988

Other providers in Richmond, IN

All providers in Richmond, IN · Developmental Therapist in Indiana

Sources for this page

Verify at the official NPI Registry.