Provider Demographics
NPI:1982028346
Name:FLANIGAN, CAITLIN (MA, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:CAITLIN
Middle Name:
Last Name:FLANIGAN
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:178 QUAKERTOWN RD
Mailing Address - Street 2:
Mailing Address - City:PITTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08867-4138
Mailing Address - Country:US
Mailing Address - Phone:908-892-5480
Mailing Address - Fax:
Practice Address - Street 1:178 QUAKERTOWN RD
Practice Address - Street 2:
Practice Address - City:PITTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08867-4138
Practice Address - Country:US
Practice Address - Phone:908-892-5480
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-05
Last Update Date:2014-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist