Healthcare Provider Details

I. General information

NPI: 1184872988
Provider Name (Legal Business Name): COLLEEN CAHILL KAFF
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2008
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 WOODLAND AVE
WOODLAND CA
95695-2701
US

IV. Provider business mailing address

3031 STANFORD RANCH RD # 134 SUITE 2
ROCKLIN CA
95765-5554
US

V. Phone/Fax

Practice location:
  • Phone: 916-295-8662
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number11130
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: