Provider Demographics
NPI:1497372528
Name:TRABERT, CAITLIN JANE (MS, CRC, LPC)
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:JANE
Last Name:TRABERT
Suffix:
Gender:F
Credentials:MS, CRC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:EBENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15931-1519
Mailing Address - Country:US
Mailing Address - Phone:724-549-3470
Mailing Address - Fax:
Practice Address - Street 1:1153 W HIGH ST
Practice Address - Street 2:
Practice Address - City:EBENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15931-1725
Practice Address - Country:US
Practice Address - Phone:724-549-3470
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-06
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC011745101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health