Provider Demographics
NPI:1205385036
Name:HOYER-BOOTH, KAITLIN A (AUD)
Entity Type:Individual
Prefix:
First Name:KAITLIN
Middle Name:A
Last Name:HOYER-BOOTH
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:KAITLIN
Other - Middle Name:A
Other - Last Name:O'BRIEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:300 HEALTH PARK DR STE 210
Mailing Address - Street 2:
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529-4685
Mailing Address - Country:US
Mailing Address - Phone:919-662-8181
Mailing Address - Fax:
Practice Address - Street 1:300 HEALTH PARK DR STE 210
Practice Address - Street 2:
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529-4685
Practice Address - Country:US
Practice Address - Phone:919-066-2818
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-21
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI633-156231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist