Provider Demographics
NPI:1518225713
Name:WEBER, CAITLIN LURANA (MS ED CCC-SLP/L)
Entity Type:Individual
Prefix:MS
First Name:CAITLIN
Middle Name:LURANA
Last Name:WEBER
Suffix:
Gender:F
Credentials:MS ED CCC-SLP/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3167 MAPLE RD
Mailing Address - Street 2:
Mailing Address - City:NEWFANE
Mailing Address - State:NY
Mailing Address - Zip Code:14108-9665
Mailing Address - Country:US
Mailing Address - Phone:716-601-8829
Mailing Address - Fax:
Practice Address - Street 1:3167 MAPLE RD
Practice Address - Street 2:
Practice Address - City:NEWFANE
Practice Address - State:NY
Practice Address - Zip Code:14108-9665
Practice Address - Country:US
Practice Address - Phone:716-601-8829
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-25
Last Update Date:2017-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021885235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist