Provider Demographics
NPI:1780369389
Name:CHAMBERS, CAITLYN (PHD)
Entity type:Individual
Prefix:DR
First Name:CAITLYN
Middle Name:
Last Name:CHAMBERS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 WEATHERSTONE DR UNIT B
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-1530
Mailing Address - Country:US
Mailing Address - Phone:601-270-8410
Mailing Address - Fax:
Practice Address - Street 1:108 WEATHERSTONE DR UNIT B
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-1530
Practice Address - Country:US
Practice Address - Phone:601-270-8410
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-20
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC126030103TS0200X
TX72199103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool