Provider Demographics
NPI:1861979346
Name:O'KANE, EMILY JUNE CAPECCI (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:JUNE CAPECCI
Last Name:O'KANE
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 1:164 RIVER RUN DR
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:KY
Mailing Address - Zip Code:40444-7407
Mailing Address - Country:US
Mailing Address - Phone:309-339-3026
Mailing Address - Fax:
Practice Address - Street 1:524 MACRANDER DR
Practice Address - Street 2:
Practice Address - City:BEREA
Practice Address - State:KY
Practice Address - Zip Code:40403-8311
Practice Address - Country:US
Practice Address - Phone:859-626-2107
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-26
Last Update Date:2019-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP.13524235Z00000X
OHCOND.2018689-SP235Z00000X
KY251574235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist