Provider Demographics
NPI:1639834872
Name:CAZEAU, NATALIE (LMHC)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:CAZEAU
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:
Other - Last Name:CAZEAU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHYSICAL THERAPY ASS
Mailing Address - Street 1:PO BOX 100094
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-0094
Mailing Address - Country:US
Mailing Address - Phone:917-209-6169
Mailing Address - Fax:
Practice Address - Street 1:17 N PLANK RD STE 10
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-2111
Practice Address - Country:US
Practice Address - Phone:845-800-9305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-02
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011344101YM0800X
NY005862225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health