Provider Demographics
NPI:1649633066
Name:ORROK, CAITLYN VIRGINIA (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:CAITLYN
Middle Name:VIRGINIA
Last Name:ORROK
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 DELAWARE AVE
Mailing Address - Street 2:
Mailing Address - City:WEST LONG BRANCH
Mailing Address - State:NJ
Mailing Address - Zip Code:07764-1744
Mailing Address - Country:US
Mailing Address - Phone:908-839-9801
Mailing Address - Fax:
Practice Address - Street 1:44 DELAWARE AVE
Practice Address - Street 2:
Practice Address - City:WEST LONG BRANCH
Practice Address - State:NJ
Practice Address - Zip Code:07764-1744
Practice Address - Country:US
Practice Address - Phone:908-839-9801
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-02
Last Update Date:2018-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00831200235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist