Provider Demographics
NPI:1811621154
Name:MERRITT, CAITLIN GRACE (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:GRACE
Last Name:MERRITT
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 1:940 SUGAR CREEK RD
Mailing Address - Street 2:
Mailing Address - City:GRAND RIVERS
Mailing Address - State:KY
Mailing Address - Zip Code:42045-9157
Mailing Address - Country:US
Mailing Address - Phone:270-217-2827
Mailing Address - Fax:
Practice Address - Street 1:2607 MAIN ST
Practice Address - Street 2:
Practice Address - City:BENTON
Practice Address - State:KY
Practice Address - Zip Code:42025-7601
Practice Address - Country:US
Practice Address - Phone:270-527-3296
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-12
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist