Provider Demographics
NPI:1265869416
Name:RAAZ, CAITLIN V (PHD, CCC-SLP)
Entity type:Individual
Prefix:DR
First Name:CAITLIN
Middle Name:V
Last Name:RAAZ
Suffix:
Gender:F
Credentials:PHD, CCC-SLP
Other - Prefix:
Other - First Name:CAITLIN
Other - Middle Name:J
Other - Last Name:VOSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:616 HEMLOCK DR
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CO
Mailing Address - Zip Code:80550-5760
Mailing Address - Country:US
Mailing Address - Phone:562-544-6922
Mailing Address - Fax:
Practice Address - Street 1:616 HEMLOCK DR
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CO
Practice Address - Zip Code:80550-5760
Practice Address - Country:US
Practice Address - Phone:562-544-6922
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-02
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COSLP.0003859235Z00000X
AZSLP7266235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist