Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cassidy Phoenix

Individual provider Speech-Language Assistant · NPI 1255865648

Cassidy Phoenix is a Speech-Language Assistant in Lake Havasu City, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2017

Practice location Address checks out

37 Oceanic Ln
Lake Havasu City, AZ 86403-5434
Phone: (702) 501-1143
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Assistant (primary) Taxonomy 2355S0801X · Licence SLPA10517 (AZ)

Record details

NPI number1255865648
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 12, 2017
Last updated in NPPESMay 25, 2021
Certification dateMay 25, 2021

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