Individual
CAITLIN LEE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
115 GEORGIA AVE, PROVIDENCE, RI 02905-4422
(401) 444-5485
(401) 444-6212
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
1067
MA
231H00000X
Audiologist
Primary
AUD00255
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9719768
MASSHEALTH
MA
Enumeration date
09/14/2015
Last updated
12/18/2019
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