Provider Demographics
NPI:1568788263
Name:SHEEHAN, CAITLIN KUHAR (MA)
Entity Type:Individual
Prefix:MS
First Name:CAITLIN
Middle Name:KUHAR
Last Name:SHEEHAN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 MEDFORD STREET
Mailing Address - Street 2:CAMBRIDGE-SOMERVILLE EARLY INTERVENTION
Mailing Address - City:SOMERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02143
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:61 MEDFORD STREET
Practice Address - Street 2:CAMBRIDGE-SOMERVILLE EARLY INTERVENTION
Practice Address - City:SOMERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02143
Practice Address - Country:US
Practice Address - Phone:617-629-3919
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-20
Last Update Date:2010-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst