Provider Demographics
NPI:1841755519
Name:HYATT, CAITLIN (MT-BC, NMT/F)
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:
Last Name:HYATT
Suffix:
Gender:F
Credentials:MT-BC, NMT/F
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 BERWICK ST
Mailing Address - Street 2:
Mailing Address - City:MELROSE
Mailing Address - State:MA
Mailing Address - Zip Code:02176-4612
Mailing Address - Country:US
Mailing Address - Phone:309-642-9046
Mailing Address - Fax:
Practice Address - Street 1:27 BERWICK ST
Practice Address - Street 2:
Practice Address - City:MELROSE
Practice Address - State:MA
Practice Address - Zip Code:02176-4612
Practice Address - Country:US
Practice Address - Phone:309-642-9046
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-06
Last Update Date:2019-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist