Individual
LISA DIANE YAUCH CADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCCSLP
Contact information
Practice address
92 GRAPE ST, SUITE #1, NEW BEDFORD, MA 02740-2143
(508) 991-2332
(508) 991-8437
Mailing address
92 GRAPE ST, SUITE #1, NEW BEDFORD, MA 02740-2143
(508) 991-2332
(508) 991-8437
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
003881
CT
235Z00000X
Speech-Language Pathologist
0500
RI
235Z00000X
Speech-Language Pathologist
Primary
2851
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-3581104
UNITED HEALTH CARE
—
01
—
0720186
TRICARE
—
05
—
0720186
—
MA
01
—
1609911031
BMC
MA
01
—
691582
TUFTS
—
01
—
AA147788
HARVARD PILGRIM
—
01
—
SP0158
BLUE CROSS BLUE SHIELD
MA
Enumeration date
02/21/2007
Last updated
03/20/2009
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