Provider Demographics
NPI:1700285863
Name:MCNIECE, CALEB J (AUD)
Entity type:Individual
Prefix:DR
First Name:CALEB
Middle Name:J
Last Name:MCNIECE
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25455 ADAMS LANDING RD
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:MD
Mailing Address - Zip Code:21629-3336
Mailing Address - Country:US
Mailing Address - Phone:443-499-3277
Mailing Address - Fax:866-282-2830
Practice Address - Street 1:25455 ADAMS LANDING RD
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:MD
Practice Address - Zip Code:21629-3336
Practice Address - Country:US
Practice Address - Phone:443-499-3277
Practice Address - Fax:866-282-2830
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-14
Last Update Date:2020-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01325231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist