Most Relevant Information
Provider Data
| NPI Number: | 1003050501 |
| Provider Name: | CASSIE LAUREN GREEN M.S., CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 018945-1 |
Most Important Dates
| Enumeration Date: | 04/28/2009 |
| Last Updated: | 04/28/2009 |
Provider Practice Location
1650 GRAND CONCOURSE
BRONX
NY
104577606
Practice Location Phone/Fax
| Phone: | 2012813781 |
| Fax: |
Provider Mailing Location
4 ELIOT CT
TEANECK
NJ
076666468
Provider Mailing Phone/Fax
| Phone: | 2012813781 |
| Fax: |