Provider Demographics
NPI:1356232813
Name:CADARET, SALLY JOAN
Entity type:Individual
Prefix:
First Name:SALLY
Middle Name:JOAN
Last Name:CADARET
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SALLY
Other - Middle Name:JOAN
Other - Last Name:RANKIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9408 MCPHERSON RD
Mailing Address - Street 2:
Mailing Address - City:ALDEN
Mailing Address - State:MI
Mailing Address - Zip Code:49612-9733
Mailing Address - Country:US
Mailing Address - Phone:231-350-9909
Mailing Address - Fax:
Practice Address - Street 1:9408 MCPHERSON RD
Practice Address - Street 2:
Practice Address - City:ALDEN
Practice Address - State:MI
Practice Address - Zip Code:49612-9733
Practice Address - Country:US
Practice Address - Phone:231-350-9909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-14
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI7101003344235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist