Provider Demographics
NPI:1023328333
Name:KANE, JEAN (MA, SLT)
Entity type:Individual
Prefix:
First Name:JEAN
Middle Name:
Last Name:KANE
Suffix:
Gender:F
Credentials:MA, SLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 RIVERSIDE TER
Mailing Address - Street 2:
Mailing Address - City:BLAUVELT
Mailing Address - State:NY
Mailing Address - Zip Code:10913-1622
Mailing Address - Country:US
Mailing Address - Phone:845-359-3339
Mailing Address - Fax:
Practice Address - Street 1:120 COTTAGE LANE
Practice Address - Street 2:SOUTH ORANGETOWN CENTRAL SCHOOLS
Practice Address - City:BLAUVELT
Practice Address - State:NY
Practice Address - Zip Code:10913-1622
Practice Address - Country:US
Practice Address - Phone:845-680-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-20
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235500000XSpeech, Language and Hearing Service ProvidersSpecialist/Technologist