Provider Demographics
NPI:1235362021
Name:CANE, JODY A
Entity Type:Individual
Prefix:
First Name:JODY
Middle Name:A
Last Name:CANE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 HANFORD ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43206-3665
Mailing Address - Country:US
Mailing Address - Phone:714-716-6723
Mailing Address - Fax:
Practice Address - Street 1:1335 DUBLIN RD STE 200B
Practice Address - Street 2:COLUMBUS THERAPY ASSOCIATES, LLC
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-7094
Practice Address - Country:US
Practice Address - Phone:614-595-9037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-27
Last Update Date:2016-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP-9481235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3082122Medicaid