Provider Demographics
NPI:1093902272
Name:CAVUOTI, ANTHONY R (MA)
Entity Type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:R
Last Name:CAVUOTI
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:P.O. BOX 7302
Mailing Address - Street 2:ANTHONY CAVUOTI IN HOME COUNSELING
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90504-8702
Mailing Address - Country:US
Mailing Address - Phone:310-214-0525
Mailing Address - Fax:310-214-0525
Practice Address - Street 1:3528 EMERALD ST
Practice Address - Street 2:IN HOME COUNSELING
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503
Practice Address - Country:US
Practice Address - Phone:310-214-0525
Practice Address - Fax:310-214-0525
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-01
Last Update Date:2012-12-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAMFC33082106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist