Healthcare Provider Details

I. General information

NPI: 1700719440
Provider Name (Legal Business Name): HAILEY CARANO CF-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6712 WASHINGTON AVE STE 204
EGG HARBOR TOWNSHIP NJ
08234-1999
US

IV. Provider business mailing address

115 CAPE MAY AVE
ESTELL MANOR NJ
08319-1742
US

V. Phone/Fax

Practice location:
  • Phone: 609-798-1518
  • Fax:
Mailing address:
  • Phone: 609-204-9630
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberTL-5044
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: