Provider Demographics
NPI:1932710795
Name:WEBB, CAITLYN ANNE
Entity Type:Individual
Prefix:
First Name:CAITLYN
Middle Name:ANNE
Last Name:WEBB
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CAITLYN
Other - Middle Name:ANNE
Other - Last Name:CORBISSERO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:561 COLUMBIA RD
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45013-3607
Mailing Address - Country:US
Mailing Address - Phone:513-439-3694
Mailing Address - Fax:
Practice Address - Street 1:8382 NEW HAVEN RD
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:OH
Practice Address - Zip Code:45030-9207
Practice Address - Country:US
Practice Address - Phone:513-738-1717
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-13
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP.14537235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist