Individual
CAITLIN MCGOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
65 SHENANDOAH AVE STE 201, DALEVILLE, VA 24083-3205
(540) 591-7514
Mailing address
6854 VILLAGE GREEN DR, ROANOKE, VA 24019-5027
(814) 439-0079
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202009597
VA
235Z00000X
Speech-Language Pathologist
SL012713
PA
Other
Enumeration date
06/30/2020
Last updated
02/22/2021
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