Individual
MRS. CAITLIN ANN THURSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1212 MCGINNESS AVE, SAN JOSE, CA 95127-4025
(408) 928-5777
Mailing address
1212 MCGINNESS AVE, SAN JOSE, CA 95127-4025
(408) 928-5777
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
19568
CA
Other
Enumeration date
10/11/2012
Last updated
04/29/2013
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