Provider Demographics
NPI:1467336305
Name:CALDWELL, STARR (EDD, SED,LBS1&2)
Entity type:Individual
Prefix:DR
First Name:STARR
Middle Name:
Last Name:CALDWELL
Suffix:
Gender:F
Credentials:EDD, SED,LBS1&2
Other - Prefix:
Other - First Name:STARR
Other - Middle Name:
Other - Last Name:PERDUE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DUAL EDD, ESL,PERA
Mailing Address - Street 1:302 E CARSON AVE FL 10
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89101-5905
Mailing Address - Country:US
Mailing Address - Phone:725-705-7421
Mailing Address - Fax:
Practice Address - Street 1:302 E CARSON AVE FL 10
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89101-5905
Practice Address - Country:US
Practice Address - Phone:725-705-7421
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-04
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No103TA0700XBehavioral Health & Social Service ProvidersPsychologistAdult Development & Aging
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy
No103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
No251300000XAgenciesLocal Education Agency (LEA)
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No174400000XOther Service ProvidersSpecialist
No251S00000XAgenciesCommunity/Behavioral Health
No225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities