Mary T Caccavo in Lafayette - Audiologist

Mary T Caccavo - NPI 1134116031

Mary T Caccavo is a Audiologist in Lafayette, Indiana. Mary T Caccavo practices all healthcare services and medical treatments related to Audiologist. The NPI Number for Mary T Caccavo is 1134116031. The last update date is 2010-06-28.

Mary T Caccavo's current location address is 2122 Scott St., Lafayette, Indiana. You can contact this provider via phone number 7654486226 and fax number 7654489416. The mailing address for Mary T Caccavo is 2122 Scott St., Lafayette, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary T Caccavo
Address 2122 Scott St., Lafayette, Indiana
Phone Number 7654486226
Fax Number 7654489416
Sole Proprietor N
Credentials PH.D.

NPI Number Detail

NPI Number 1134116031
Provider Enumeration Date 2005-10-05
Last Updated Date 2010-06-28

Provider Mailing Address Detail

Address 2122 Scott St.
City Lafayette
State Indiana (IN)
Post Code 47904
Phone Number 7654486226
Fax Number 7654489416

Provider's Primary Taxonomy Detail

Speciality Audiologist
Taxonomy 231H00000X
Licence No 23001132A
Definition:
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
202141 IN BCBS UAW
220890 IN BLUE CROSS BLUE SHIELD
220890 IN FEDERAL BCBS
640004350 IN RAILROAD MEDICARE
100232400A IN --
220882 IN BCBS UAW

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FAQs about Mary T Caccavo

What is Mary T Caccavo's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Mary T Caccavo's specialized field of practice is Audiologist, and the corresponding taxonomy code that categorizes this area of specialization is 231H00000X.

What is Mary T Caccavo's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Mary T Caccavo is Audiologist, and the taxonomy classification code that categorizes this area of expertise is 231H00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1134116031 to Mary T Caccavo?

The Centers for Medicare & Medicaid Services assigned the 1134116031 to Mary T Caccavo on 2005-10-05.

When was the information related to Mary T Caccavo most recently updated or refreshed?

The details pertaining to the Mary T Caccavo, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-06-28.

As of what date was the information regarding Mary T Caccavo, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Mary T Caccavo, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-06-28.

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