Cassie A Semore

Individual provider Active NPI Speech-Language Pathologist · Lyles, TN

NPI 1487190872 · NPPES record last updated Jan 10, 2017

Key facts

NPI
1487190872
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
5673 (TN)
Practice address
6449 Primm Springs Rd
Lyles, TN 37098-3061
Phone
(931) 996-9212
NPI assigned
Jan 10, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
5673TNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dickson County Schools Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 5673 TN Yes

Addresses

Primary practice location

6449 Primm Springs Rd
Lyles, TN 37098-3061

Mailing address

6449 Primm Springs Rd
Lyles, TN 37098-3061
Phone (931) 996-9212

Other names

  • Cassie Christian Former name

Other providers in Lyles, TN

All providers in Lyles, TN · Speech-Language Pathologist in Tennessee

Sources for this page

Verify at the official NPI Registry.