Provider Demographics
NPI:1407288046
Name:TSCHANN, CAITLEN J (MA, EDM)
Entity Type:Individual
Prefix:
First Name:CAITLEN
Middle Name:J
Last Name:TSCHANN
Suffix:
Gender:F
Credentials:MA, EDM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:236 E 95TH ST
Mailing Address - Street 2:#2F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-4047
Mailing Address - Country:US
Mailing Address - Phone:571-277-0469
Mailing Address - Fax:
Practice Address - Street 1:236 E 95TH ST
Practice Address - Street 2:#2F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-4047
Practice Address - Country:US
Practice Address - Phone:571-277-0469
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-06
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health