Provider Demographics
NPI:1710762513
Name:ADKINSON, CAITLYN (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:CAITLYN
Middle Name:
Last Name:ADKINSON
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2060 S BAY SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36305-6881
Mailing Address - Country:US
Mailing Address - Phone:334-596-3776
Mailing Address - Fax:
Practice Address - Street 1:1733 W MAIN ST
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36301-1330
Practice Address - Country:US
Practice Address - Phone:334-699-8878
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-29
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL14472041235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist