Provider Demographics
NPI:1306142971
Name:LEJA, CAITLIN SARA (MS, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:CAITLIN
Middle Name:SARA
Last Name:LEJA
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2539 W PRESERVE WAY
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85085-5064
Mailing Address - Country:US
Mailing Address - Phone:480-861-8185
Mailing Address - Fax:
Practice Address - Street 1:25615 N RANCH GATE RD
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-2141
Practice Address - Country:US
Practice Address - Phone:480-513-4628
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-31
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP7115235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
14099135OtherAMERICAN SPEECH AND HEARING ASSOCIATION (ASHA)
AZSLP7115OtherARIZONA DEPARTMENT OF HEALTH SERVICES- SPEECH-LANGUAGE PATHOLOGIST