Provider Demographics
NPI:1093909426
Name:CAHILL, JOANN MILDRED (MA/CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:JOANN
Middle Name:MILDRED
Last Name:CAHILL
Suffix:
Gender:F
Credentials:MA/CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:706 BRATLEY DR
Mailing Address - Street 2:
Mailing Address - City:WASHBURN
Mailing Address - State:WI
Mailing Address - Zip Code:54891-1143
Mailing Address - Country:US
Mailing Address - Phone:715-373-5621
Mailing Address - Fax:
Practice Address - Street 1:706 BRATLEY DR
Practice Address - Street 2:
Practice Address - City:WASHBURN
Practice Address - State:WI
Practice Address - Zip Code:54891-1143
Practice Address - Country:US
Practice Address - Phone:715-373-5621
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-29
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2577-154235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist