NPIMap

Caitlin Baloga, CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Forty Fort, PA

NPI 1497213433 · NPPES record last updated Mar 8, 2019

Key facts

NPI
1497213433
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SL014268 (PA)
Practice address
1133 Wyoming Ave
Forty Fort, PA 18704-4003
Phone
(570) 714-1246
NPI assigned
Mar 8, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
SL014268PAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wyoming Valley Childrens Association Speech-Language Pathologist Past
since Feb 1, 2025		 Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL014268 PA Yes

Addresses

Primary practice location

1133 Wyoming Ave
Forty Fort, PA 18704-4003

Mailing address

1133 Wyoming Ave
Forty Fort, PA 18704-4003
Phone (570) 714-1246

Other names

  • Caitlin Oliver Former name

Other providers in Forty Fort, PA

All providers in Forty Fort, PA · Speech-Language Pathologist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.