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Individual

CAITLYN MICHELLE NEITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2602 S BELT LINE RD, GRAND PRAIRIE, TX 75052-5344
(972) 237-4019
Mailing address
924 GARVEY LN APT 5311, FORT WORTH, TX 76102-1177

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
123456
TX
235Z00000X
Speech-Language Pathologist
38159
CA

Other

Enumeration date
08/13/2025
Last updated
08/13/2025
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