Provider Demographics
NPI:1548049554
Name:MCCABE, EILEEN FLANAGAN (CCC-SLP)
Entity type:Individual
Prefix:
First Name:EILEEN
Middle Name:FLANAGAN
Last Name:MCCABE
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:EILEEN
Other - Middle Name:MARY
Other - Last Name:MCCABE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:25 SALISBURY AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH KINGSTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02852-7113
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:25 SALISBURY AVE
Practice Address - Street 2:
Practice Address - City:NORTH KINGSTOWN
Practice Address - State:RI
Practice Address - Zip Code:02852-7113
Practice Address - Country:US
Practice Address - Phone:401-268-6533
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-28
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RISP01384235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist