Provider Demographics
NPI:1083104194
Name:SLOTTER, CAITLIN HUGHS (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CAITLIN
Middle Name:HUGHS
Last Name:SLOTTER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 W BELMONT AVE APT 7D
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-4742
Mailing Address - Country:US
Mailing Address - Phone:203-668-2032
Mailing Address - Fax:
Practice Address - Street 1:945 W GEORGE ST STE 210
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-5876
Practice Address - Country:US
Practice Address - Phone:203-668-2032
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-14
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071010873103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical