Provider Demographics
NPI:1962952747
Name:BRENNAN, CARA (MS, CF-SLP)
Entity type:Individual
Prefix:
First Name:CARA
Middle Name:
Last Name:BRENNAN
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 N FRANKLIN ST
Mailing Address - Street 2:UNIT 1014
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60654-8327
Mailing Address - Country:US
Mailing Address - Phone:973-494-3860
Mailing Address - Fax:
Practice Address - Street 1:630 N FRANKLIN ST
Practice Address - Street 2:UNIT 1014
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60654-8327
Practice Address - Country:US
Practice Address - Phone:973-494-3860
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-05
Last Update Date:2016-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist