Provider Demographics
NPI:1568725430
Name:CALDWELL, HORACE JR (MS, SI, TSHH)
Entity Type:Individual
Prefix:
First Name:HORACE
Middle Name:
Last Name:CALDWELL
Suffix:JR
Gender:M
Credentials:MS, SI, TSHH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 W 145TH ST
Mailing Address - Street 2:#212
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10039-3093
Mailing Address - Country:US
Mailing Address - Phone:917-826-9058
Mailing Address - Fax:212-234-0002
Practice Address - Street 1:330 W 145TH ST
Practice Address - Street 2:#212
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10039-3093
Practice Address - Country:US
Practice Address - Phone:917-826-9058
Practice Address - Fax:212-234-0002
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-16
Last Update Date:2012-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant