Canaday, Mary Jo

Canaday, Mary Jo is an individual health care provider with primary practice located at 6910 N Main St Unit 10 , Granger IN 46530-9681. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter is her primary health care specialty. Canaday, Mary Jo can be contacted via phone (574) 247-6047.

Contact Information

Primary practice address
6910 N Main St Unit 10 Granger IN 46530-9681
Phone: (574) 247-6047
Fax: (574) 247-6060
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 22004688A Indiana
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 23002434A Indiana

Profile Details

NPI number 1659536415
LBN Legal business name Canaday, Mary Jo
Credentials M.S., CCC-A/SP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2008
Last updated Jul 22nd, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659536415 NPPES
Indiana MEDICAID 200014070

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