Healthcare Provider Details

I. General information

NPI: 1447950449
Provider Name (Legal Business Name): CAITLIN HEATON AUD.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2023
Last Update Date: 02/06/2025
Certification Date: 02/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 BILLERICA RD STE 202
CHELMSFORD MA
01824-4100
US

IV. Provider business mailing address

321 BILLERICA RD STE 202
CHELMSFORD MA
01824-4100
US

V. Phone/Fax

Practice location:
  • Phone: 978-256-5557
  • Fax: 978-256-1835
Mailing address:
  • Phone: 978-256-5557
  • Fax: 978-256-1835

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number716
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: