Provider Demographics
NPI:1083099246
Name:BROWN, CAITLIN (MA)
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13229 LINDEN AVE N APT 401B
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-7535
Mailing Address - Country:US
Mailing Address - Phone:504-473-5158
Mailing Address - Fax:
Practice Address - Street 1:13229 LINDEN AVE N APT 401B
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98133-7535
Practice Address - Country:US
Practice Address - Phone:504-473-5158
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-29
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA7437235Z00000X
WALL61049201235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist