Provider Demographics
NPI:1275868911
Name:OSORIO CAICEDO, CLAUDIA P (PSY D)
Entity Type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:P
Last Name:OSORIO CAICEDO
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:CLAUDIA
Other - Middle Name:P
Other - Last Name:OSORIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:121 LINCOLN ST STE 17
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605-2429
Mailing Address - Country:US
Mailing Address - Phone:617-752-2526
Mailing Address - Fax:
Practice Address - Street 1:121 LINCOLN ST STE 17
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01605-2429
Practice Address - Country:US
Practice Address - Phone:617-752-2526
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-14
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10884103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist