Basic Information
| Provider Information | |||||||||
| NPI: | 1588386940 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CAHALANE | ||||||||
| FirstName: | ASHLEY | ||||||||
| MiddleName: | ELIZABETH | ||||||||
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| Credential: | MS CFY SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 940 CITY PLAZA WAY APT 307 | ||||||||
| Address2: | |||||||||
| City: | OVIEDO | ||||||||
| State: | FL | ||||||||
| PostalCode: | 327655062 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7169833299 | ||||||||
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| Practice Location | |||||||||
| Address1: | 756 N SUN DR | ||||||||
| Address2: | |||||||||
| City: | LAKE MARY | ||||||||
| State: | FL | ||||||||
| PostalCode: | 327462507 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4079040132 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/13/2022 | ||||||||
| LastUpdateDate: | 09/13/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 09/13/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | SZ10957 | FL | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.