Provider Demographics
NPI:1336791805
Name:MAY, CAITLYN ARACELI (MS, LCGC)
Entity type:Individual
Prefix:
First Name:CAITLYN
Middle Name:ARACELI
Last Name:MAY
Suffix:
Gender:F
Credentials:MS, LCGC
Other - Prefix:
Other - First Name:CAITLYN
Other - Middle Name:ARACELI
Other - Last Name:MACZKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:50 N MEDICAL DR
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84132-2209
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:50 N MEDICAL DR
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84132-2209
Practice Address - Country:US
Practice Address - Phone:801-581-8425
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-15
Last Update Date:2019-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT11337883-3602170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS