Individual
CAITLIN ELIZABETH CANESA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
1060 E 95TH ST, BROOKLYN, NY 11236-2032
(646) 523-4423
Mailing address
1060 EAST 95TH ST, BROOKLYN, NY 11236
(646) 523-4423
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
022134
NY
235Z00000X
Speech-Language Pathologist
022134-1
NY
Other
Enumeration date
09/14/2012
Last updated
04/22/2015
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