Provider Demographics
NPI:1902003049
Name:CATALDO, LISA M (MDIV, PHD)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:M
Last Name:CATALDO
Suffix:
Gender:F
Credentials:MDIV, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 E 55TH ST
Mailing Address - Street 2:APT. 15F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-4118
Mailing Address - Country:US
Mailing Address - Phone:212-888-0157
Mailing Address - Fax:212-888-0157
Practice Address - Street 1:360 E 55TH ST
Practice Address - Street 2:APT. 15F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-4118
Practice Address - Country:US
Practice Address - Phone:212-888-0157
Practice Address - Fax:212-888-0157
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000339102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst