Provider Demographics
NPI:1326416090
Name:ADAMS, CAITLIN (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:
Last Name:ADAMS
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:CAITLIN
Other - Middle Name:
Other - Last Name:FOY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:314 W 1ST ST
Mailing Address - Street 2:
Mailing Address - City:OGALLALA
Mailing Address - State:NE
Mailing Address - Zip Code:69153-2520
Mailing Address - Country:US
Mailing Address - Phone:308-284-8481
Mailing Address - Fax:308-284-8483
Practice Address - Street 1:314 W 1ST ST
Practice Address - Street 2:
Practice Address - City:OGALLALA
Practice Address - State:NE
Practice Address - Zip Code:69153-2520
Practice Address - Country:US
Practice Address - Phone:308-284-8481
Practice Address - Fax:308-284-8483
Is Sole Proprietor?:No
Enumeration Date:2015-09-10
Last Update Date:2019-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2014007381235Z00000X
NE1772235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist