Provider Demographics
NPI:1073353744
Name:MEYER, CAITLIN (MS, CF-SLP)
Entity type:Individual
Prefix:
First Name:CAITLIN
Middle Name:
Last Name:MEYER
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1009 N WESTSHORE BLVD
Mailing Address - Street 2:
Mailing Address - City:MANTENO
Mailing Address - State:IL
Mailing Address - Zip Code:60950-1814
Mailing Address - Country:US
Mailing Address - Phone:815-214-0318
Mailing Address - Fax:
Practice Address - Street 1:16936 FOREST AVE
Practice Address - Street 2:
Practice Address - City:OAK FOREST
Practice Address - State:IL
Practice Address - Zip Code:60452-4517
Practice Address - Country:US
Practice Address - Phone:708-560-0092
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-29
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist