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NPI Code Detail

MEDICARE: CAITLIN PANELLA MS, CCC-SLP

MEDICARE:   CAITLIN  PANELLA  MS, CCC-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 PathologistSL014492PA

General Provider Information

NPI Number : 1366136285
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAITLIN PANELLA MS, CCC-SLP
Provider Business Mailing Address
First Line : 11905 ALBERTA DR
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19154-3414
Country : US
Telephone Number : 609-285-3170
Fax Number :
Provider Business Practice Location Address
First Line : 11905 ALBERTA DR
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19154-3414
Country : US
Telephone Number : 609-285-3170
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2023
Last Update Date : 10/13/2023

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Directions to “ CAITLIN PANELLA MS, CCC-SLP” Practice Location

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