Provider Demographics
NPI:1013694140
Name:MYERS, CAITLIN E
Entity type:Individual
Prefix:MS
First Name:CAITLIN
Middle Name:E
Last Name:MYERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10535 BEDFORDTOWN DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27614-8070
Mailing Address - Country:US
Mailing Address - Phone:919-325-6910
Mailing Address - Fax:
Practice Address - Street 1:105 CONVENTION DR
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-4595
Practice Address - Country:US
Practice Address - Phone:919-460-9955
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-30
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech