Provider Demographics
NPI:1679019194
Name:CAHALAN, JOAN T (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:JOAN
Middle Name:T
Last Name:CAHALAN
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 1:13004 PATRICK CIR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68164-3938
Mailing Address - Country:US
Mailing Address - Phone:402-493-7617
Mailing Address - Fax:
Practice Address - Street 1:13004 PATRICK CIR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68164-3938
Practice Address - Country:US
Practice Address - Phone:402-493-7617
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-08
Last Update Date:2017-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE602235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist