Cassidy Carlson, MS CF-SLP
Individual provider Active NPI Speech-Language Pathologist · Crystal River, FL
NPI 1356097562 · NPPES record last updated Feb 25, 2022
Key facts
- NPI
- 1356097562
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SZ10480 (FL)
- Practice address
- 255 SE 7TH Ave Ste 2
Crystal River, FL 34429-4848 - Phone
- (352) 795-4114
- Fax
- (352) 563-2438
- NPI assigned
- Feb 25, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SZ10480 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Florida Clinic for Rehabilitation | Speech-Language Pathologist | Current |
Accepting new patients |
| Nosky P.a. | Past |
Accepting new patients |
Locations
255 SE 7th Ave
Ste 2
Crystal River, FL 34429
Phone (352) 795-4114
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SZ10480 | FL | Yes |
Addresses
Primary practice location
255 SE 7TH Ave Ste 2
Crystal River, FL 34429-4848
Mailing address
255 SE 7TH Ave Ste 2
Crystal River, FL 34429-4848
Phone (352) 795-4114
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | cfcrcitrus@cfcrcitrus.fl-hie.net | Health Information Exchange (HIE) | Central Florida Clinic for Rehabilitation |
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All providers in Crystal River, FL · Speech-Language Pathologist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.