Individual
HALEIGH CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
4400 MARKETING PL STE B, GROVEPORT, OH 43125-9308
(614) 492-2520
Mailing address
3651 BRINELL ST E APT 118, COLUMBUS, OH 43214-3789
(740) 645-8477
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.14564
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SP.14564
—
OH
Enumeration date
08/30/2021
Last updated
08/30/2021
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