Provider Demographics
NPI:1144807751
Name:CAINE, CLAIRE (MT-BC)
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:
Last Name:CAINE
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1031 LORD CECIL DR
Mailing Address - Street 2:
Mailing Address - City:OWINGS
Mailing Address - State:MD
Mailing Address - Zip Code:20736-9712
Mailing Address - Country:US
Mailing Address - Phone:443-968-6214
Mailing Address - Fax:
Practice Address - Street 1:2021 CHANEYVILLE RD
Practice Address - Street 2:
Practice Address - City:OWINGS
Practice Address - State:MD
Practice Address - Zip Code:20736-4347
Practice Address - Country:US
Practice Address - Phone:410-286-5505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-28
Last Update Date:2021-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD15791225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist