Individual
CAITLYN BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
451 N HIGH ST, EAST HAVEN, CT 06512-1555
(203) 466-6580
Mailing address
586 ORANGE CENTER RD, ORANGE, CT 06477-2956
(203) 745-7580
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6904
CT
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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