Provider Demographics
NPI:1831894955
Name:STEIN, CAILEE ELISE (CF-SLP)
Entity type:Individual
Prefix:MS
First Name:CAILEE
Middle Name:ELISE
Last Name:STEIN
Suffix:
Gender:F
Credentials:CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 SHORE LAKE DR APT C
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27455-1472
Mailing Address - Country:US
Mailing Address - Phone:567-207-8622
Mailing Address - Fax:
Practice Address - Street 1:730 S SCALES ST STE A
Practice Address - Street 2:
Practice Address - City:REIDSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27320-5338
Practice Address - Country:US
Practice Address - Phone:336-951-4557
Practice Address - Fax:336-951-4546
Is Sole Proprietor?:No
Enumeration Date:2023-03-31
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC30000750235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist