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NPI Code Detail

MEDICARE: CAITLIN SCOTT MS CCC-SLP

MEDICARE: CAITLIN SCOTT 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 Pathologist027291NY

General Provider Information

NPI Number : 1538673629
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAITLIN SCOTT MS CCC-SLP
Provider Business Mailing Address
First Line : 84 COFFEY ST # 1
Second Line :
City : BROOKLYN
State : NY
Zip : 11231-1504
Country : US
Telephone Number : 978-660-3442
Fax Number :
Provider Business Practice Location Address
First Line : 463 HAWTHORNE AVE
Second Line :
City : YONKERS
State : NY
Zip : 10705-3441
Country : US
Telephone Number : 914-375-8969
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2017
Last Update Date : 11/28/2017

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Directions to “ CAITLIN SCOTT MS CCC-SLP” Practice Location

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