Doctor Name: | CAITLYN INDYK |
NPI Number: | 1023474574 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | SA14149 |
Business Practice Address: | 6360 Techster Blvd Suite 1 Fort Myers, FL - 339664805 |
Business Phone Number: | 2392232751 |
Business Fax Number: | 2395612933 |
Mailing Address: | 6360 Techster Blvd, Suite 1 FORT MYERS |
State: | FL |
Postal Code: | 339664805 |
Phone Number: | 2392232751 |
Fax Number: | 2395612933 |
NPI Enumeration Date: | 01/13/2016 |
NPI Last Update Date: | 01/13/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA14149 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |