Individual
CAITLIN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1413 LASKIN RD, VIRGINIA BEACH, VA 23451-6007
(757) 263-2800
Mailing address
654 SEAWATCH CV, VIRGINIA BEACH, VA 23451-4077
(570) 677-7404
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
14041247
—
235Z00000X
Speech-Language Pathologist
Primary
2202007970
VA
Other
Enumeration date
02/26/2018
Last updated
02/26/2018
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