Provider Demographics
NPI:1649897711
Name:DOLD, CAITLIN D (AUD)
Entity type:Individual
Prefix:
First Name:CAITLIN
Middle Name:D
Last Name:DOLD
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:785 MAMARONECK AVENUE
Mailing Address - Street 2:BUILDING 4, 3RD FLOOR
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605
Mailing Address - Country:US
Mailing Address - Phone:914-949-0034
Mailing Address - Fax:914-949-0717
Practice Address - Street 1:785 MAMARONECK AVENUE
Practice Address - Street 2:BUILDING 4, 3RD FLOOR
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605
Practice Address - Country:US
Practice Address - Phone:914-949-0034
Practice Address - Fax:914-949-0717
Is Sole Proprietor?:No
Enumeration Date:2020-07-06
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002934231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist