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Individual

CAITLIN COLIVAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S. CCC-SLP

Contact information

Practice address
810 LAWRENCE DR, SUITE 100, NEWBURY PARK, CA 91320-2208
(805) 273-3870
(805) 273-3871
Mailing address
810 LAWRENCE DR, SUITE 100, NEWBURY PARK, CA 91320-2208
(805) 273-3870
(805) 273-3871

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 21665
CA

Other

Enumeration date
03/24/2014
Last updated
03/24/2014
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