| Doctor Name: | CAITLIN JANE WUERTZ |
| NPI Number: | 1710353586 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA CF-SLP |
| License Number: | 242003726 |
| Business Practice Address: | 1505 Patton Dr Mahomet, IL - 618538116 |
| Business Phone Number: | 2175863200 |
| Business Fax Number: | |
| Mailing Address: | 5112 Suson Oaks Ct, SAINT LOUIS |
| State: | MO |
| Postal Code: | 631284532 |
| Phone Number: | 3146305654 |
| Fax Number: | |
| NPI Enumeration Date: | 08/17/2015 |
| NPI Last Update Date: | 08/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 242003726 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| 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 |