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Individual

CAITLIN L GOGOLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-5100
(615) 322-3000
Mailing address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-5100
(615) 322-3000

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
07519
MD
235Z00000X
Speech-Language Pathologist
Primary
6146
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
TN
Enumeration date
09/08/2014
Last updated
04/08/2019
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