Provider Demographics
NPI:1538649322
Name:CAZEAU, JOANNE WESLEY (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:WESLEY
Last Name:CAZEAU
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:267 THOMPSON AVE
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631-3809
Mailing Address - Country:US
Mailing Address - Phone:201-608-3233
Mailing Address - Fax:
Practice Address - Street 1:267 THOMPSON AVE
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631-3809
Practice Address - Country:US
Practice Address - Phone:201-608-3233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-21
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ01010900235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist