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NPI Code Detail

MEDICARE: MISS CAITLIN MARIE DAVIS SLP

MEDICARE: MISS CAITLIN MARIE DAVIS SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist05855MD

General Provider Information

NPI Number : 1346534062
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS CAITLIN MARIE DAVIS SLP
Provider Business Mailing Address
First Line : 508 PIERCE CT
Second Line :
City : MIDDLETOWN
State : DE
Zip : 19709-9697
Country : US
Telephone Number : 302-379-3456
Fax Number :
Provider Business Practice Location Address
First Line : 11665 DOOLITTLE DR
Second Line :
City : WALDORF
State : MD
Zip : 20602-2898
Country : US
Telephone Number : 877-407-3422
Fax Number : 877-407-4329
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2011
Last Update Date : 04/01/2025

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Directions to “ MISS CAITLIN MARIE DAVIS SLP” Practice Location

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