MEDICARE: CARA ANNE HAINJE SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist
2	235Z00000X	Speech-Language Pathologist	SA17128	FL

General Provider Information

NPI Number	:	1801461041
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARA ANNE HAINJE SLP

Provider Business Mailing Address
First Line	:	2546 SW 35TH LN
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33914-4801
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1159 SEPIA LN
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33461-3325
Country	:	US
Telephone Number	:	561-577-7760
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2021
Last Update Date	:	05/20/2021

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Directions to “ CARA ANNE HAINJE SLP” Practice Location

Language	Start Address	Practice Location

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