Provider Demographics
NPI:1871006049
Name:TSAI, CAROLINE (SLP)
Entity Type:Individual
Prefix:MRS
First Name:CAROLINE
Middle Name:
Last Name:TSAI
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:MISS
Other - First Name:CAROLINE
Other - Middle Name:
Other - Last Name:WOODRUFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:825 N ASPEN DR
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85226-1833
Mailing Address - Country:US
Mailing Address - Phone:781-866-6364
Mailing Address - Fax:
Practice Address - Street 1:3700 N 24TH ST STE 130
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-6535
Practice Address - Country:US
Practice Address - Phone:602-903-4072
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-09
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP10873235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist