Basic Information
Provider Information
NPI: 1881715639
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CAHILL
FirstName: ELLEN
MiddleName:  
NamePrefix: MRS.
NameSuffix:  
Credential: SLP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 44 IROQUOIS RD
Address2:  
City: RICHBORO
State: PA
PostalCode: 189541218
CountryCode: US
TelephoneNumber: 2153559185
FaxNumber:  
Practice Location
Address1: 3485 DAVISVILLE RD
Address2:  
City: HATBORO
State: PA
PostalCode: 190404220
CountryCode: US
TelephoneNumber: 2158300400
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/02/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
235Z00000XSL002112-LPAY Speech, Language and Hearing Service ProvidersSpeech-Language Pathologist 

No ID Information.


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