Provider Demographics
NPI:1144537788
Name:CAGLIONE, TARA A (MS CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:TARA
Middle Name:A
Last Name:CAGLIONE
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 1:18 CARRIAGE HILL RD
Mailing Address - Street 2:
Mailing Address - City:BREWSTER
Mailing Address - State:NY
Mailing Address - Zip Code:10509-3427
Mailing Address - Country:US
Mailing Address - Phone:914-262-6279
Mailing Address - Fax:
Practice Address - Street 1:47 W HYATT AVE
Practice Address - Street 2:
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-2817
Practice Address - Country:US
Practice Address - Phone:914-241-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-02
Last Update Date:2010-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0138541235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist