Provider Demographics
NPI:1881090256
Name:CASTER, PAIGE (MS)
Entity type:Individual
Prefix:
First Name:PAIGE
Middle Name:
Last Name:CASTER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12062 VALLEY VIEW ST STE 137
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92845-1741
Mailing Address - Country:US
Mailing Address - Phone:714-901-1518
Mailing Address - Fax:714-901-1539
Practice Address - Street 1:12062 VALLEY VIEW ST STE 137
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92845-1741
Practice Address - Country:US
Practice Address - Phone:714-901-1518
Practice Address - Fax:714-901-1539
Is Sole Proprietor?:No
Enumeration Date:2014-11-13
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP11755235Z00000X
CARPE 9481235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAFY596AMedicare PIN