Provider Demographics
NPI:1871098996
Name:ELDRIDGE, CAITLIN (LCMHC)
Entity type:Individual
Prefix:
First Name:CAITLIN
Middle Name:
Last Name:ELDRIDGE
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 65
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:NH
Mailing Address - Zip Code:03825-0065
Mailing Address - Country:US
Mailing Address - Phone:617-420-6562
Mailing Address - Fax:
Practice Address - Street 1:308 DURHAM RD UNIT B
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-4354
Practice Address - Country:US
Practice Address - Phone:617-420-6562
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-29
Last Update Date:2021-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
NH2290101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health