Provider Demographics
NPI:1861060253
Name:CALDWELL, JOSHUA (AUD)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:
Last Name:CALDWELL
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1509 SUNSWEPT TER
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75077-2414
Mailing Address - Country:US
Mailing Address - Phone:940-585-8007
Mailing Address - Fax:
Practice Address - Street 1:300 S NOLEN DR STE 100
Practice Address - Street 2:
Practice Address - City:SOUTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76092-8057
Practice Address - Country:US
Practice Address - Phone:817-989-2400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-14
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX81242231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist