Provider Demographics
NPI:1093716763
Name:CAHILL, JUDY LYNN (MA,CCC)
Entity Type:Individual
Prefix:
First Name:JUDY
Middle Name:LYNN
Last Name:CAHILL
Suffix:
Gender:F
Credentials:MA,CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 GREEN AVE
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08648-1623
Mailing Address - Country:US
Mailing Address - Phone:609-895-0239
Mailing Address - Fax:
Practice Address - Street 1:77 SCHANCK RD
Practice Address - Street 2:SUITE A6
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-2964
Practice Address - Country:US
Practice Address - Phone:732-462-1413
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJYA0010237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ090162TYMMedicare ID - Type Unspecified