Provider Demographics
NPI:1073003265
Name:FELITTI, CAITLYN ELIZABETH (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:CAITLYN
Middle Name:ELIZABETH
Last Name:FELITTI
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 ONONDAGA ST
Mailing Address - Street 2:
Mailing Address - City:OLD BRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:08857-1849
Mailing Address - Country:US
Mailing Address - Phone:347-723-6447
Mailing Address - Fax:
Practice Address - Street 1:400 BELCHASE DR
Practice Address - Street 2:
Practice Address - City:MATAWAN
Practice Address - State:NJ
Practice Address - Zip Code:07747-9758
Practice Address - Country:US
Practice Address - Phone:732-581-6947
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-14
Last Update Date:2018-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNJS41YS00691900235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist