Healthcare Provider Details

I. General information

NPI: 1770470080
Provider Name (Legal Business Name): CAITLYN RACHEL LAGUARDIA M.S. CF-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2025
Last Update Date: 06/19/2025
Certification Date: 06/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2736 MEDINA RD STE 108
MEDINA OH
44256-9801
US

IV. Provider business mailing address

486 LOCKWOOD LN
BRUNSWICK OH
44212-1016
US

V. Phone/Fax

Practice location:
  • Phone: 330-867-2240
  • Fax:
Mailing address:
  • Phone: 330-888-3749
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberCOND.2025318-SP
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: