Healthcare Provider Details

I. General information

NPI: 1962085779
Provider Name (Legal Business Name): CAITLYN WELSH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2021
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6010 HIDDEN VALLEY RD STE 201
CARLSBAD CA
92011-4219
US

IV. Provider business mailing address

6010 HIDDEN VALLEY RD STE 201
CARLSBAD CA
92011-4219
US

V. Phone/Fax

Practice location:
  • Phone: 858-755-9343
  • Fax:
Mailing address:
  • Phone: 858-755-9343
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: