Crystal Caicedo
Individual provider Active NPI Marriage & Family Therapist · Fort Riley, KS
NPI 1669911731 · NPPES record last updated Feb 21, 2017
Key facts
- NPI
- 1669911731
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- LF60567967 (WA)
- Practice address
- 6278 Fleetwood CT
1
Fort Riley, KS 66442-3342 - Phone
- (954) 662-4582
- NPI assigned
- Feb 21, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LF60567967 | WA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LF60567967 | WA | Yes |
Addresses
Primary practice location
6278 Fleetwood CT
1
Fort Riley, KS 66442-3342
Mailing address
6278 Fleetwood CT
1
Fort Riley, KS 66442-3342
Other providers in Fort Riley, KS
- Dwayne Douglas Bryant
- Christel Lynn Labarge Burke
- Shannon Burke
- Teresita Selga Busby
- Allen Byrne Jr.
- Brian David Calkins
- Jesus Camacho Maldonado
- Steven Camacho
- Byron E Capps
- Joseph Carmona
All providers in Fort Riley, KS · Marriage & Family Therapist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.