Healthcare Provider Details

I. General information

NPI: 1255681706
Provider Name (Legal Business Name): CAITLIN BURDITT PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2012
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

197 WARREN AVE STE 202
EAST PROVIDENCE RI
02914-4826
US

IV. Provider business mailing address

691 FALL RIVER AVE
SEEKONK MA
02771-5646
US

V. Phone/Fax

Practice location:
  • Phone: 508-635-1337
  • Fax: 781-795-9566
Mailing address:
  • Phone: 508-635-1337
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TH0004X
TaxonomyHealth Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: