Provider Demographics
NPI:1578050159
Name:ERDMAN, CAITLIN CAPRICE (PHD)
Entity Type:Individual
Prefix:DR
First Name:CAITLIN
Middle Name:CAPRICE
Last Name:ERDMAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:CAITLIN
Other - Middle Name:CAPRICE
Other - Last Name:ANDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:880 MUNSON AVE STE E1
Mailing Address - Street 2:
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49686-3661
Mailing Address - Country:US
Mailing Address - Phone:231-431-0300
Mailing Address - Fax:231-431-0310
Practice Address - Street 1:880 MUNSON AVE STE E1
Practice Address - Street 2:
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49686-3661
Practice Address - Country:US
Practice Address - Phone:231-431-0300
Practice Address - Fax:231-431-0310
Is Sole Proprietor?:No
Enumeration Date:2018-04-18
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301017333103TC1900X
MI6301018294103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling