Provider Demographics
NPI:1740703446
Name:MCPHERSON, CAITLIN (MS CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:CAITLIN
Middle Name:
Last Name:MCPHERSON
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 1:170 AVENUE AT THE CMN STE 1
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:07702-4568
Mailing Address - Country:US
Mailing Address - Phone:732-741-8073
Mailing Address - Fax:
Practice Address - Street 1:170 AVENUE AT THE CMN STE 1
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:NJ
Practice Address - Zip Code:07702-4568
Practice Address - Country:US
Practice Address - Phone:732-741-8073
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-25
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS0088800235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist