Provider Demographics
NPI:1750525762
Name:CACHET, IRINA (MS SLP-CCC)
Entity type:Individual
Prefix:MRS
First Name:IRINA
Middle Name:
Last Name:CACHET
Suffix:
Gender:F
Credentials:MS SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 MACKENZIE ST
Mailing Address - Street 2:FL 2
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-2303
Mailing Address - Country:US
Mailing Address - Phone:718-743-0823
Mailing Address - Fax:718-743-0823
Practice Address - Street 1:121 MACKENZIE ST
Practice Address - Street 2:FL 2
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-2303
Practice Address - Country:US
Practice Address - Phone:718-743-0823
Practice Address - Fax:718-743-0823
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-22
Last Update Date:2009-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011278235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist