Doctor Name: | CAITLIN SHEA |
NPI Number: | 1093982423 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC-SLP |
License Number: | 12097307 |
Business Practice Address: | 804 E 7th St South Boston, MA - 021274346 |
Business Phone Number: | 6172688968 |
Business Fax Number: | |
Mailing Address: | 804 E 7th St, SOUTH BOSTON |
State: | MA |
Postal Code: | 021274346 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/14/2008 |
NPI Last Update Date: | 05/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 12097307 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
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 |