Provider Demographics
NPI:1962386631
Name:ALBANO, CAITLYN ASHLEY (PSYD)
Entity type:Individual
Prefix:DR
First Name:CAITLYN
Middle Name:ASHLEY
Last Name:ALBANO
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21803 N 40TH WAY
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85050-7234
Mailing Address - Country:US
Mailing Address - Phone:631-697-1561
Mailing Address - Fax:
Practice Address - Street 1:21803 N 40TH WAY
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85050-7234
Practice Address - Country:US
Practice Address - Phone:631-697-1561
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZPSY-006042103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical