Provider Demographics
NPI:1326559030
Name:HECOX, CAITLYN BEE (MA CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:CAITLYN
Middle Name:BEE
Last Name:HECOX
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:146 STATE HOUSE STATION
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:ME
Mailing Address - Zip Code:04333-0146
Mailing Address - Country:US
Mailing Address - Phone:518-593-9347
Mailing Address - Fax:
Practice Address - Street 1:61B WILSON ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04101-4448
Practice Address - Country:US
Practice Address - Phone:518-593-9347
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-20
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MESP2772235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist