Provider Demographics
NPI:1225602600
Name:POSTON, CAITLIN (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:CAITLIN
Middle Name:
Last Name:POSTON
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 1:5521 ALPINE PLACE DR
Mailing Address - Street 2:
Mailing Address - City:SMITHTON
Mailing Address - State:IL
Mailing Address - Zip Code:62285-3680
Mailing Address - Country:US
Mailing Address - Phone:618-420-0220
Mailing Address - Fax:
Practice Address - Street 1:200 W FIELD DR
Practice Address - Street 2:
Practice Address - City:RED BUD
Practice Address - State:IL
Practice Address - Zip Code:62278-1304
Practice Address - Country:US
Practice Address - Phone:618-282-3858
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-19
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.013512235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist