Provider Demographics
NPI:1437919495
Name:CEASER, NATOSHA MARIE
Entity Type:Individual
Prefix:
First Name:NATOSHA
Middle Name:MARIE
Last Name:CEASER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 HALSEY AVE NE APT 234
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-3540
Mailing Address - Country:US
Mailing Address - Phone:314-465-9768
Mailing Address - Fax:
Practice Address - Street 1:4900 MERIDIAN ST N
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35811-1156
Practice Address - Country:US
Practice Address - Phone:256-372-5000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-19
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool